Russell, Yvonne C

Russell, Yvonne C is an individual health care provider with primary practice located at 771 N. Freedom St. , Ravenna OH 44266. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Russell, Yvonne C can be contacted via phone (330) 296-5552.

Contact Information

Primary practice address
771 N. Freedom St. Ravenna OH 44266
Phone: (330) 296-5552
Fax: (330) 296-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.2308890 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1770198525
LBN Legal business name Russell, Yvonne C
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2020
Last updated Mar 30th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770198525 NPPES
Ohio MEDICAID 0418609

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