BLAKE RUSSWINKEL LSW
NPI 1336897404
Social Worker in Collinsville, IL

Active since March 16, 2022
2014 VANDALIA ST, COLLINSVILLE, IL 62234(618) 345-9536 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Russwinkel Lsw NPPES

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

BLAKE RUSSWINKEL LSW (NPI 1336897404) is an individual social worker in Collinsville, Illinois, licensed in Illinois (150104739) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1336897404
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBLAKE RUSSWINKELCredential: LSW
Location Address2014 VANDALIA STCollinsville, IL 62234-4848
Mailing Address1651 Cherokee Rd Apt 3bLake Ozark, MO 65049-4955 · (217) 473-9889
Sole ProprietorYes
Enumeration DateMarch 16, 2022
Last NPPES UpdateApril 27, 2022
NPPES CertifiedApril 27, 2022
NPI 1336897404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in IL · 150104739
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2014 VANDALIA ST, Collinsville, IL 62234

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.

Counselor (Professional)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Counselor (Mental Health)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker (Clinical)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker (Clinical)
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234
Social Worker
2014 VANDALIA ST
COLLINSVILLE, IL 62234

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 Blake Russwinkel's NPI number?

The NPI number for Blake Russwinkel is 1336897404. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Blake Russwinkel located?

Blake Russwinkel practices at 2014 Vandalia St, Collinsville, IL 62234. The listed phone number is (618) 345-9536.

What is Blake Russwinkel's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Blake Russwinkel was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.