IndividualActive
Shannon Russo
NPI 1366388670 · Social Worker · Port Jefferson Station, NY
Shannon Russo is a Social Worker provider in Port Jefferson Station, NY (NPI 1366388670).
Provider details
- NPI number
- 1366388670
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 120865 (NY)
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
1227 Main St
Port Jefferson Station, NY 11777-2227
Phone: (631) 312-1225
Street-level locationGet directions
Mailing address
3 Hedda Rd
Port Jefferson Station, NY 11776-2818
Registry dates
- Enumerated
- 2026-04-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Frequently asked questions
- What is Shannon Russo's NPI number?
- Shannon Russo's National Provider Identifier (NPI) is 1366388670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Russo's specialty?
- Shannon Russo is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Russo located?
- Shannon Russo's practice location on file with NPPES is 1227 Main St, Port Jefferson Station, NY 11777-2227.
- What is Shannon Russo's phone number?
- The practice phone number listed in the NPPES registry for Shannon Russo is (631) 312-1225.
- Is Shannon Russo's NPI active?
- Yes — Shannon Russo's NPI (1366388670) is active in the NPPES registry as of the last update on 2026-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.