Shelley Fossum, LICSW
NPI 1619130325 · Clinical Social Worker · Saint Cloud, MN
Shelley Fossum, LICSW is a Clinical Social Worker provider in Saint Cloud, MN (NPI 1619130325).
Provider details
- NPI number
- 1619130325
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16251 (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
17 yrs in NPPES 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
- 2008-07-03
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Shelley Fossum's NPI number?
- Shelley Fossum's National Provider Identifier (NPI) is 1619130325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelley Fossum's specialty?
- Shelley Fossum is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shelley Fossum located?
- Shelley Fossum's practice location on file with NPPES is 4801 Veterans Dr, Saint Cloud, MN 56303-2015.
- What is Shelley Fossum's phone number?
- The practice phone number listed in the NPPES registry for Shelley Fossum is (320) 255-6480.
- Is Shelley Fossum's NPI active?
- Yes — Shelley Fossum's NPI (1619130325) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.