Shannon Russo
Shannon Russo is a Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
1227 Main StPort Jefferson Station, NY 11777-2227
Phone: (631) 312-1225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 120865 (NY) |
|---|
Record details
| NPI number | 1366388670 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2026 |
| Last updated in NPPES | April 28, 2026 |
| Certification date | April 28, 2026 |
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