Russell, Nancy

Russell, Nancy is an sole proprietor health care provider with primary practice located at 500 Central Avenue Clearview Center, Albany NY 12208-1708. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Russell, Nancy can be contacted via phone (518) 435-9931.

Contact Information

Primary practice address
500 Central Avenue Clearview Center Albany NY 12208-1708
Fax: (518) 459-3715
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 069215 New York

Profile Details

NPI number 1356393938
LBN Legal business name Russell, Nancy
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356393938 NPPES
New York MEDICAID 00069215

Popular Providers