THOMAS RUSSO (NPI# 1700022100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700022100 |
| Entity Type | Individual |
| Full Name | THOMAS RUSSO |
| Credential | MSW |
| Practice Address |
10 Missile Ave Minot ND 58705-5003 |
| Practice Telephone | 7017279800 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14076 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285836452 | Thomas David Russo | Dentist | 63 Shore Rd Ste 13, Winchester, MA 01890-2828 | 2007-06-01 |
| 1235511205 | Thomas J Russo | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2015-06-25 |
| 1720384332 | Thomas Matthew Russo | Anesthesiology | 1656 Champlin Ave, New Hartford, NY 13413-1068 | 2011-01-28 |
| 1730285271 | Thomas P Russo | Anesthesiology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-15 |
| 1801816822 | Thomas Alan Russo | Internal Medicine | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2006-07-20 |
| 1811958861 | Thomas P Russo | Psychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-03-30 |
| 1871581363 | Thomas Russo | Specialist | 80 Eisenhower Dr, Suite 200, Paramus, NJ 07652-1401 | 2005-10-10 |
| 1902804412 | Thomas Anthony Russo | Physician Assistant | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2005-07-08 |
| Street Address |
10 MISSILE AVE |
| City | MINOT |
| State | ND |
| Zip Code | 58705-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979742 | Ashley Jensen | Physician Assistant | 10 Missile Ave, Minot, ND 58705-5003 | 2020-07-13 |
| 1700356730 | Paul Gingrich | Physician Assistant | 10 Missile Ave, Minot, ND 58705-5003 | 2018-12-03 |
| 1801383971 | Maria Cristina Cruz Camacho | Student in an Organized Health Care Education/Training Program | 10 Missile Ave, Minot, ND 58705-5003 | 2018-04-15 |
| 1083137756 | Jennifer Lynn Burman | Nurse Practitioner | 10 Missile Ave, Minot, ND 58705-5003 | 2017-07-25 |
| 1649575192 | Jared Groves Brinkerhoff | Chiropractor | 10 Missile Ave, Minot, ND 58705-5003 | 2011-01-13 |
| 1033396189 | Teena M Hanson | Pharmacist | 10 Missile Ave, Minot, ND 58705-5003 | 2008-01-30 |
| 1417934563 | Roscoe Orlando Vancamp | Family Medicine | 10 Missile Ave, Minot, ND 58705-5003 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093900 | Coty Winn | Student in an Organized Health Care Education/Training Program | Minot Afb Medical Group, 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-24 |
| 1144717596 | Angela Kennedy | Social Worker | 5 Mdg 194 Missile Avenue, Minot Afb, ND 58705 | 2018-04-20 |
| 1386064780 | Desiree Avedon Aaron-barber | Licensed Practical Nurse | Minot Va Cboc, Minot Air Force Base, Minot, ND 58705 | 2014-04-24 |
| 1366771644 | Melanie Renee Roserie | Social Worker | 194 Missile Avenue, Minot Afb - 5 Mdg Mental Health Clinic, Minot, ND 58705 | 2009-12-15 |
| 1255565289 | Javier Alberto Padial | Pediatrics | 194 Missle Ave., Minot Afb, Apo, AA 58705 | 2009-05-05 |
| 1184694127 | Michelle Joy Fundingsland | Dietitian, Registered | 201 Missile Ave, Minot Afb, ND 58705 | 2006-01-24 |
| 1306404645 | Yongke Tan | Pharmacist | 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-02 |
| 1689106320 | Priscilla Barrio | Student in an Organized Health Care Education/Training Program | 194 Missile Ave, Minot Afb, ND 58705 | 2017-03-31 |
| 1881953602 | Casey Simon Brock | Physician Assistant | 194 Missile Avenue, Minot Air Force Base, ND 58705 | 2012-05-14 |
| 1154618973 | Brian Grant Kay | Social Worker | 194 Missile Ave, Minot, ND 58705 | 2011-06-30 |
| Find all providers in zip 58705 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417477969 | Lea Anna Hughes | Social Worker | 831 S Broadway # 39, Minot, ND 58701-4636 | 2017-06-26 |
| 1093124166 | Jennifer Grossman-chinburg, Licsw, Pllc | Social Worker | 1809 S Broadway Ste A, Minot, ND 58701-6567 | 2014-08-04 |
| 1134426463 | Pospishil and Associates, Pllc | Social Worker | 1425 21st Ave Nw, Minot, ND 58703-0816 | 2011-02-23 |
| 1811202260 | Erin Leiann Thuner | Social Worker | 1425 21st Ave Nw Ste C, Minot, ND 58703-0817 | 2010-08-10 |
| 1720399454 | Cheryl Ann Levadney | Social Worker | 600 22nd Ave Nw Ste U2, Minot, ND 58703-0986 | 2010-06-28 |
| 1366771644 | Melanie Renee Roserie | Social Worker | 194 Missile Avenue, Minot Afb - 5 Mdg Mental Health Clinic, Minot, ND 58705 | 2009-12-15 |
| 1760571285 | Tricia Baldwin | Social Worker | 20 1st Ave Sw Ste 202, Northern Plains Children's Advocacy Center, Minot, ND 58701-3812 | 2006-10-12 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1033155593 | Denise R Roerick | Social Worker | 1900-8th Ave Se, Minot, ND 58701-4935 | 2006-06-22 |
| 1205897634 | Melissa Kay Flood | Social Worker | 901 15th Ave Se, Minot, ND 58701-5997 | 2006-03-28 |
| Find all providers in MINOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.