MRS. Lisa Russo Russo, LCSW
NPI #1184599284 in Nantucket, Massachusetts
Provider Information
- NPI Number
- 1184599284
- Entity Type
- Individual
- Name
- MRS. Lisa Russo Russo, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 8, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 4 CORBY WAY
- City
- Nantucket
- State
- Massachusetts
- ZIP Code
- 02554-5313
- Phone
- (201) 906-8115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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