Fred Cipriano Russo, LCSW
NPI 1821144288ActiveIndividual· Social Worker, Clinical· East Northport, NY
Social Worker, Clinical (LCSW) in East Northport, New York, licensed in NY, with an NPI issued in January 2007. Medicare paid $21,872 for services to 12 patients in 2024.
Overview
| NPI | 1821144288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R023424 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 12 |
|---|---|
| Services billed | 339 across 3 procedure codes |
| Paid by Medicare | $21,872 |
Education and affiliations
| Graduation year | 1978 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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