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

Individual provider Clinical Social Worker · NPI 1972605475

Mr. Richard Michael Prussin, LCSW is a Clinical Social Worker in Baldwinsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12 W Genesee St
Baldwinsville, NY 13027-1105
Phone: (315) 638-0988
Fax: (315) 251-2603
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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 PR014595-1 (NY)

Record details

NPI number1972605475
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 4, 2006
Last updated in NPPESNovember 1, 2013

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