Russo, Bonnie

Russo, Bonnie is an sole proprietor health care provider with primary practice located at 1729 Nw Saint Lucie West Blvd # 1276 , Port Saint Lucie FL 34986-2501. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Russo, Bonnie can be contacted via phone (561) 412-9281.

Contact Information

Primary practice address
1729 Nw Saint Lucie West Blvd # 1276 Port Saint Lucie FL 34986-2501
Phone: (561) 412-9281
Fax: (620) 522-8594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X SW15096 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW15096 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW15096 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW15096 Florida

Profile Details

NPI number 1366922288
LBN Legal business name Russo, Bonnie
Credentials LCSW, QS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2018
Last updated Nov 25th, 2025 - about last year

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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