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

Individual provider Clinical Social Worker · NPI 1578820254

Katherine Teresa Russo, LCSW is a Clinical Social Worker in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
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

1060 Waldorf Ter
Lakewood, NJ 08701-5546
Phone: (800) 275-3243
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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 44SC05362100 (NJ)

Record details

NPI number1578820254
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 18, 2012

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