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

Melissa Russo, LICSW

Individual provider Clinical Social Worker · NPI 1992032783

Melissa Russo, LICSW is a Clinical Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009
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

150 S Huntington Ave
Boston, MA 02130-4893
Phone: (617) 232-9500
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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 115036 (MA)

Record details

NPI number1992032783
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 16, 2009
Last updated in NPPESMay 18, 2023
Certification dateJune 23, 2022

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