IndividualActive
Tyler Russell, LICSW
NPI 1033055991 · Clinical Social Worker · New Hope, MN
Tyler Russell, LICSW is a Clinical Social Worker provider in New Hope, MN (NPI 1033055991).
Provider details
- NPI number
- 1033055991
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 33093 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019
Phone: (763) 225-4052
Street-level locationGet directions
Mailing address
7625 Metro Blvd Ste 200
Edina, MN 55439-3079
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Tyler Russell's NPI number?
- Tyler Russell's National Provider Identifier (NPI) is 1033055991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Russell's specialty?
- Tyler Russell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyler Russell located?
- Tyler Russell's practice location on file with NPPES is 9220 Bass Lake Rd Ste 255, New Hope, MN 55428-3019.
- What is Tyler Russell's phone number?
- The practice phone number listed in the NPPES registry for Tyler Russell is (763) 225-4052.
- Is Tyler Russell's NPI active?
- Yes — Tyler Russell's NPI (1033055991) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.