O'Leary, Russell
O'Leary, Russell is an individual health care provider with primary practice located at 1305 2Nd St S Suite 201, Nampa ID 83651-3944. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. O'Leary, Russell can be contacted via phone (208) 463-0202.Contact Information
Primary practice address
1305 2Nd St S Suite 201
Nampa ID 83651-3944
Phone: (208) 463-0202
Fax: (208) 463-0205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-39915 | Idaho |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-30901 | Idaho |
Profile Details
| NPI number | 1962883546 |
|---|---|
| LBN Legal business name | O'Leary, Russell |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Feb 26th, 2026 - about 9 months 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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