MR. JOHN MICHAEL RUSSO (LCSW) – Clinical Social Worker, NPI 1346451606

MR. JOHN MICHAEL RUSSO (LCSW) is a healthcare provider. based in Monroeville, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW016527 (PA). The NPI Number for MR. JOHN MICHAEL RUSSO (LCSW) is 1346451606

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN MICHAEL RUSSO (LCSW)
NPI
1346451606
Phone
(203) 500-0406
Address
111 N PARK ST
Enumeration Date
25 May 2007
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4183711849
Group Practice PAC ID
9436046828
Professional Enrollment ID
I20110105000677
Address ID
PA151462361MO300XXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for MR. JOHN MICHAEL RUSSO (LCSW)

  • 111 N PARK ST

    MONROEVILLE, PA 151464013

    Phone: (203) 500-0406

    Type: Mailing

  • 412, East Commons, Allegheny Center, Pittsburgh, Allegheny County, Pennsylvania, 15212, United States

    MERCY BEHAVIORAL HEALTH

    PITTSBURGH, PA 152125310

    Phone: (412) 442-1982

    Fax: (412) 442-1901

    Type: Mailing

  • 6315 FORBES AVE STE 125C

    PITTSBURGH, PA 152171745

    Phone: (412) 515-5746

    Type: Location

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: 2011-01-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110105000677IClinical Social WorkerPATBD

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.

Verify on CMS Revalidation Lookup Tool

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 15146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436046828View full group profile
NameSpecialtyState
Clinical Social WorkerWV
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Clinical Social WorkerPA
Nurse PractitionerPA
Clinical PsychologistPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JOHN MICHAEL RUSSO (LCSW)?
NPI 1346451606 is assigned to MR. JOHN MICHAEL RUSSO (LCSW) under the national enumeration system.
Is MR. JOHN MICHAEL RUSSO (LCSW) active in the national directory?
MR. JOHN MICHAEL RUSSO (LCSW)'s public NPI profile is in an active state.
Does MR. JOHN MICHAEL RUSSO (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MR. JOHN MICHAEL RUSSO (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JOHN MICHAEL RUSSO (LCSW)?
The page summarizes Monroeville, Pennsylvania for MR. JOHN MICHAEL RUSSO (LCSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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