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

Individual provider Clinical Social Worker · NPI 1235412107

Mr. Christopher J Russo, LICSW is a Clinical Social Worker in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2011
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

49 Pavilion Ave Ste 105
Providence, RI 02905-1534
Phone: (401) 490-8900
Fax: (401) 490-2619
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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 CSW01400 (RI)

Record details

NPI number1235412107
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 27, 2011
Last updated in NPPESOctober 10, 2013

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