Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Laura Ann Russo-Innamorato, PSYD

Individual provider Clinical Social Worker · NPI 1003900044

Mrs. Laura Ann Russo-Innamorato, PSYD is a Clinical Psychologist in Newtown Square, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Optum Behavioral Care of Connecticut PC, a 128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

19 Campus Blvd Ste 102 Delaware County Professional Services
Newtown Square, PA 19073
Phone: (610) 356-2100
Fax: (610) 356-6645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS017407 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW013505 (PA)

Record details

NPI number1003900044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Optum Behavioral Care Of Connecticut Pc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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