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

Kathleen Russo

Individual provider Clinical Social Worker · NPI 1285112227

Kathleen Russo is a Clinical Social Worker in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

5111 Auto Club Dr Ste 112
Dearborn, MI 48126-2684
Phone: (248) 241-3895
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 6801122386 (MI)

Record details

NPI number1285112227
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2018
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address5111 Auto Club Dr Ste 112, Dearborn, MI 48126-2684

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