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

Heather Jordan Boddie-Russo, LCSW

Individual provider Clinical Social Worker · NPI 1588090286

Heather Jordan Boddie-Russo, LCSW is a Clinical Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

2101 Alexian Dr Ste D
San Jose, CA 95116-1901
Phone: (408) 272-6513
Fax: (408) 272-6557
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 29058 (CA)

Record details

NPI number1588090286
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESJuly 30, 2018

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