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MR. TYLER JOSEPH RUSSELL LICSW
NPI 1033055991
Social Worker - Clinical in New Hope, MN

Active since April 24, 2026
9220 BASS LAKE RD STE 255, NEW HOPE, MN 55428(763) 225-4052 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tyler Joseph Russell Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER JOSEPH RUSSELL LICSW (NPI 1033055991) is an individual clinical provider in New Hope, Minnesota, licensed in Minnesota (33093) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1033055991
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TYLER JOSEPH RUSSELLCredential: LICSW
Location Address9220 BASS LAKE RD STE 255New Hope, MN 55428-3019
Mailing Address7625 Metro Blvd Ste 200Edina, MN 55439-3079 · (952) 945-4092
Phone(763) 225-4052
Sole ProprietorNo
Enumeration DateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1033055991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 33093
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9220 BASS LAKE RD STE 255, New Hope, MN 55428
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA GOFFMAN LP
Psychologist (Clinical)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
TARA NOELLE TAPPE LICSW
Social Worker (Clinical)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
KATIE SUZANNE PERZEL LICSW
Social Worker (Clinical)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
VOLUNTEERS OF AMERICA MN/WI
Clinic/Center (Mental Health (Including Community Mental Health Center))
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
HONG FA THAO LPCC
Counselor (Mental Health)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
MICHAEL BROWN
Social Worker
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (612) 346-7694
MEGHAN KATHLEEN BORZENSKI CLARK LICSW
Social Worker (Clinical)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 225-4052
MRS. JAIME LEA MONSON MSW, LICSW
Social Worker (Clinical)
9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Hennepin County (763) 252-4509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Russell's NPI number?

The NPI number for Tyler Russell is 1033055991. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Where is Tyler Russell located?

Tyler Russell practices at 9220 Bass Lake Rd Ste 255, New Hope, MN 55428. The listed phone number is (763) 225-4052.

What is Tyler Russell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tyler Russell was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.