Courtney Russo, LCSW
NPI 1184188484ActiveIndividual· Social Worker, Clinical· Coram, NY
Social Worker, Clinical (LCSW) with Welllife Network Inc, practicing in Coram, New York. Medicare paid $17,861 for services to 19 patients in 2024.
Overview
| NPI | 1184188484 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 31, 2019 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 093492 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 428 across 5 procedure codes |
| Paid by Medicare | $17,861 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Welllife Network IncWyandanch, NY · 17 clinicians
Other Social Worker, Clinical providers in Coram
- 1093293037
- 1932928355
- 1568892214
- 1881294338
- 1942312251
- 1699230284
- 1750435665
- 1477836690
- 1659759892
- 1700214384
- 1780238725
- 1043646995