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

Individual provider Clinical Social Worker · NPI 1194809038

Gail Russo, LCSW is a Clinical Social Worker in Wayne, New Jersey. Qualified in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
51
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4 Timothy Rd
Wayne, NJ 07470-4517
Phone: (518) 573-1345
Fax: (973) 406-7396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06253000 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence R016254 (NY)

Record details

NPI number1194809038
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address4 Timothy Rd, Wayne, NJ 07470-4517

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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