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Nicole Russo, LISW

Clinical Social Worker in Berea, OH · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902411630

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Registry record

Entity type Individual (Type 1)
Name Nicole Russo
Credential LISW
Sex Female
Practice address 398 W Bagley Rd Ste 13, Berea, OH, 44017
Fax (440) 527-8043
Enumeration date Sep 10, 2020
Last updated in NPPES Aug 22, 2024

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License I.2405587 (OH) Primary

Other identifiers

Identifier Type State Issuer
0416980 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Nicole Russo?
The National Provider Identifier (NPI) for Nicole Russo is 1902411630, a Type 1 (individual) record in the CMS NPPES registry.
Where does Nicole Russo practice?
The practice location on file with NPPES is in Berea, OH. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-22.