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

Kellie Marie Russo, CASAC-2

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548825151

Kellie Marie Russo, CASAC-2 is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

460 Brielle Ave
Staten Island, NY 10314-6427
Phone: (718) 412-3156
Fax: (718) 356-3155
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 29679 (NY)

Record details

NPI number1548825151
Entity typeIndividual (Type 1)
GenderFemale
Credentials CASAC-2
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 8, 2019

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