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JILL MARIE RUSSELL LICSW
NPI 1043149586
Social Worker - Clinical in Brooklyn Center, MN

Active since May 19, 2026
5421 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429(763) 504-7812 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Marie Russell Licsw NPPES

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

JILL MARIE RUSSELL LICSW (NPI 1043149586) is an individual clinical provider in Brooklyn Center, Minnesota, licensed in Minnesota (22812) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1043149586
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL MARIE RUSSELLCredential: LICSW
Location Address5421 BROOKLYN BLVDBrooklyn Center, MN 55429-3359
Mailing Address4148 Winnetka Ave NNew Hope, MN 55427-1210 · (763) 504-8000
Phone(763) 504-7812
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1043149586 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 · 22812
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.
5421 BROOKLYN BLVD, Brooklyn Center, MN 55429
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Other Providers at the Same Location NPPES

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

ELIZABETH BEEBE
Speech-Language Pathologist
5421 BROOKLYN BLVD
BROOKLYN CENTER, MN 55429
Hennepin County (763) 504-7873

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 Jill Russell's NPI number?

The NPI number for Jill Russell is 1043149586. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Jill Russell located?

Jill Russell practices at 5421 Brooklyn Blvd, Brooklyn Center, MN 55429. The listed phone number is (763) 504-7812.

What is Jill 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 Jill Russell was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.