Shawn Disterhaupt
NPI 1942996087 · Clinical Social Worker · Brainerd, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Disterhaupt is a Clinical Social Worker provider in Brainerd, MN (NPI 1942996087).
Provider details
- NPI number
- 1942996087
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26111 (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
3 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
- 2023-04-12
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Frequently asked questions
- What is Shawn Disterhaupt's NPI number?
- Shawn Disterhaupt's National Provider Identifier (NPI) is 1942996087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Disterhaupt's specialty?
- Shawn Disterhaupt is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shawn Disterhaupt located?
- Shawn Disterhaupt's practice location on file with NPPES is 606 Front St, Brainerd, MN 56401-3602.
- What is Shawn Disterhaupt's phone number?
- The practice phone number listed in the NPPES registry for Shawn Disterhaupt is (218) 232-6247.
- Does Shawn Disterhaupt accept Medicare?
- Shawn Disterhaupt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Disterhaupt's NPI active?
- Yes — Shawn Disterhaupt's NPI (1942996087) is active in the NPPES registry as of the last update on 2023-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.