Nicole Russo, LISW
NPI 1902411630 · Clinical Social Worker · Berea, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Russo, LISW is a Clinical Social Worker provider in Berea, OH (NPI 1902411630).
Provider details
- NPI number
- 1902411630
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- License
- I.2405587 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-10
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Nicole Russo's NPI number?
- Nicole Russo's National Provider Identifier (NPI) is 1902411630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Russo's specialty?
- Nicole Russo is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Nicole Russo located?
- Nicole Russo's practice location on file with NPPES is 398 W Bagley Rd Ste 13, Berea, OH 44017-1312.
- What is Nicole Russo's phone number?
- The practice phone number listed in the NPPES registry for Nicole Russo is (440) 970-3790.
- Does Nicole Russo accept Medicare?
- Nicole Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Russo's NPI active?
- Yes — Nicole Russo's NPI (1902411630) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.