Miss. Nicole Lorraine Russo, ASW
Miss. Nicole Lorraine Russo, ASW is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2115 The AlamedaSan Jose, CA 95126-1141
Phone: (669) 213-0673
Fax: (408) 259-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence ASW103130 (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1326528522 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ASW |
| Sole proprietor | No |
| NPI enumerated | August 16, 2018 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | August 16, 2020 |
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