Russell Salvatore Governale, LMSW
Social Worker, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1295366268
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1295366268
- Entity type
- Individual (NPI-1)
- Name
- Russell Salvatore Governale
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 044761 | NY | Yes |
Practice location
731 White Plains RdBronx, NY 10473-2631
Phone 718-822-9140
Mailing address
138 Montrose AveBrooklyn, NY 11206-2043
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