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

Mrs. Roberta Russo, CSW008127

Individual provider Clinical Social Worker · NPI 1902572688

Mrs. Roberta Russo, CSW008127 is a Clinical Social Worker in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

3911 Mary Eliza Trce NW Ste 200
Marietta, GA 30064-1088
Phone: (678) 631-9907
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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 CSW008127 (GA)

Record details

NPI number1902572688
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW008127
Sole proprietorYes
NPI enumeratedAugust 21, 2021
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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