IndividualActive
Christina Russo, LICSW
NPI 1902156599 · Clinical Social Worker · Lucedale, MS
Provider details
- NPI number
- 1902156599
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3054G (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
124 Summer St
Lucedale, MS 39452-5918
Phone: (251) 209-8879
Approximate (ZIP-level) locationGet directions
Mailing address
10315 Blackwell Nursery Rd S
Semmes, AL 36575-5109
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2022-05-31
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.