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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750737573

Kristin Irene Russo, LICSW is an Addiction (Substance Use Disorder) Counselor in Taunton, Massachusetts. Works from 2 locations. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2016
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

9 Taunton Grn Unit 5
Taunton, MA 02780-3232
Phone: (716) 720-7051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1333 Iris Ave, Boulder, CO 80304-2226 — (303) 443-8500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 123924 (MA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 100546 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750737573
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESOctober 23, 2022
Certification dateOctober 23, 2022

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