SHANE RUSSELL LICSW
NPI 1164303046
Social Worker - Clinical in Minneapolis, MN
About Shane Russell Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE RUSSELL LICSW (NPI 1164303046) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (28620) and active in the NPI registry since September 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Shane Russell's NPI number?
The NPI number for Shane Russell is 1164303046. It was assigned to this individual provider in the NPPES registry on September 9, 2025.
Where is Shane Russell located?
Shane Russell practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 273-6440.
What is Shane 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 Shane Russell was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.