Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonnie Russo, LCSW, QS

Individual provider Case Manager/Care Coordinator · NPI 1366922288

Bonnie Russo, LCSW, QS is a Clinical Social Worker in Port Saint Lucie, Florida. Qualified in 2014, 12 years ago. Practices with Papillon Health and Wellness LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2018
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1729 NW Saint Lucie West Blvd # 1276
Port Saint Lucie, FL 34986-2501
Phone: (561) 412-9281
Fax: (620) 522-8594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW15096 (FL)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence SW15096 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW15096 (FL)
Social Worker Taxonomy 104100000X · Licence SW15096 (FL)

Record details

NPI number1366922288
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , QS
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Papillon Health And Wellness Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Saint Lucie