Shane Russell, LICSW
NPI 1164303046 · Clinical Social Worker · Minneapolis, MN
Shane Russell, LICSW is a Clinical Social Worker provider in Minneapolis, MN (NPI 1164303046).
Provider details
- NPI number
- 1164303046
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- 28620 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-10-24
- Certified
- 2025-09-09
Frequently asked questions
- What is Shane Russell's NPI number?
- Shane Russell's National Provider Identifier (NPI) is 1164303046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Russell's specialty?
- Shane Russell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shane Russell located?
- Shane Russell's practice location on file with NPPES is 2450 Riverside Ave, Minneapolis, MN 55454-1450.
- What is Shane Russell's phone number?
- The practice phone number listed in the NPPES registry for Shane Russell is (612) 273-6440.
- Is Shane Russell's NPI active?
- Yes — Shane Russell's NPI (1164303046) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.