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Search › Florida › 101YM0800X

Bonnie Russo, LCSW, QS

NPI 1366922288 · on the registry since 2018 · sole proprietor

Practice

Address
1729 Nw Saint Lucie West Blvd # 1276
Port Saint Lucie, FL 34986
Phone
(561) 412-9281
Fax
(620) 522-8594
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
1041C0700X
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-25
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida