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

Mr. Fred Cipriano Russo, LCSW

Individual provider Clinical Social Worker · NPI 1821144288

Mr. Fred Cipriano Russo, LCSW is a Clinical Social Worker in East Northport, New York. Qualified in 1978, 48 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
48
Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1023 Pulaski Rd
East Northport, NY 11731
Phone: (631) 261-4296
Fax: (631) 261-4296
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R023424 (NY)

Record details

NPI number1821144288
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Northport