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

Mrs. Maddison Passion Russo, LICSW

Individual provider Clinical Social Worker · NPI 1578293080

Mrs. Maddison Passion Russo, LICSW is a Clinical Social Worker in New Bedford, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022
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

4334 Acushnet Ave
New Bedford, MA 02745-4614
Phone: (508) 273-6284
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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 1141375 (MA)

Record details

NPI number1578293080
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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