Kellie Marie Russo
CASAC-2 | Addiction (Substance Use Disorder) Counselor
460 Brielle Ave, Staten Island
New York, 10314-6427
718-412-3156 718-356-3155
Maps & DirectionsKellie Marie Russo is a Staten Island, New York based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Kellie Marie Russo is 29679 for Addiction (Substance Use Disorder) Counselor in New York. Her current practice location is 460 Brielle Ave, Staten Island. Patients can book an appointment with her at 718-412-3156.
Kellie Marie Russo is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Kellie Marie Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kellie Marie Russo |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | CASAC-2 |
| Accepts Medicare Assignment: | No |
| Practice Address: | 460 Brielle Ave, Staten Island,
New York, 10314-6427 |
| Phone: | 718-412-3156 |
| Fax: | 718-356-3155 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548825151 |
| NPI Enumeration Date: | 08 May, 2019 |
| NPI Last Update On: | 08 May, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Marie Russo are as mentioned below.
| License Number | Specialization | State | Status | |
| 29679 | Addiction (Substance Use Disorder) Counselor | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kellie Marie Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 29679 | Other | New York | CASAC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 460 Brielle Ave,
Staten Island, New York |
| Zip: | 10314-6427 |
| Phone Number: | 718-412-3156 |
| Fax Number: | 718-356-3155 |
Patients can reach Kellie Marie Russo at
460 Brielle Ave, Staten Island, New York or can
call to book an appointment on 718-412-3156.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.