Heather Jordan Boddie-russo LCSW

  • NPI 1588090286
According to our database, the NPI number for Heather Jordan Boddie-russo LCSW is 1588090286 and activated since 10 years ago. Heather Jordan Boddie-russo LCSW is an individual provider who specializes in Clinical, and the primary practice location is 2101 Alexian Dr, San Jose, CA 95116. You can also contact Heather Jordan Boddie-russo LCSW via telephone number is (408) 272-6513. Provider NPI information was last updated on 07/30/2018.

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Overview of Heather Jordan Boddie-russo LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/25/2013
  • Last updated: 07/30/2018

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCS 29058
  • License State: CA

Provider Mailing Address

  • Address: 1671 The Alameda
    Ste 306
    San Jose, CA 95126
  • Phone: 408-472-1103
  • Fax: 408-320-4252

Provider Practice Location

  • Address: 2101 Alexian Dr
    Suite D
    San Jose, CA 95116
  • Phone: 408-272-6513
  • Fax: 408-272-6557

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: LCS 29058
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Heather Jordan Boddie-russo LCSW?
  • A: The npi number for Heather Jordan Boddie-russo LCSW is 1588090286.
  • Q: What are Heather Jordan Boddie-russo LCSW's specialties?
  • A: Heather Jordan Boddie-russo LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Heather Jordan Boddie-russo LCSW?
  • A: The medical license number for Heather Jordan Boddie-russo LCSW is LCS 29058 and issued in CA in USA.
  • Q: Where is Heather Jordan Boddie-russo LCSW practice location?
  • A: Heather Jordan Boddie-russo LCSW is practicing at 2101 Alexian Dr, San Jose, CA 95116.
  • Q: How to contact Heather Jordan Boddie-russo LCSW?
  • A: You can contact Heather Jordan Boddie-russo LCSW via 408-272-6513.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
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Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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