Individual
ANNE PAULETTE RUSSO
Active
Individual
ANNE PAULETTE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107716
MA
1041C0700X
Clinical Social Worker
R040227-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019909
CIGNA
MA
01
—
252503
MAGELLAN
MA
01
—
421376MS
HARVARD PILGRIM/PACIFICAR
MA
01
—
4474067
AETNA
MA
01
—
6232034
UNITED HEALTHCARE
MA
01
—
9073175
PHCS
MA
01
—
P07193
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
03/24/2006
Last updated
07/08/2007
Update your record
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