BONNIE RUSSO (LCSW, QS) – Mental Health Counselor, NPI 1366922288
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,376 CLINICAL SOCIAL WORKER in FL
Provider Addresses for BONNIE RUSSO (LCSW, QS)
4740 N STATE ROAD 7 STE 201
LAUDERDALE LAKES, FL 333195839
Phone: (954) 486-4005
Type: Mailing
7721 N MILITARY TRL STE 3-5
WEST PALM BEACH, FL 334107429
Phone: (561) 649-6500
Type: Location
5827, Corporate Way, West Palm Beach, Palm Beach County, Florida, 33407, United States
WEST PALM BEACH, FL 334072000
Phone: (561) 844-9443
Fax: (561) 472-9692
Type: Mailing
1505, Delaware Avenue, Glidden Park, Fort Pierce, St. Lucie County, Florida, 34950, United States
FORT PIERCE, FL 349503975
Phone: (561) 844-9443
Fax: (561) 472-9692
Type: Location
1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL 349862501
Phone: (561) 412-9281
Fax: (620) 522-8594
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230519001509 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33319)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | FL |
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