SHAWN ULLRICH LICSW
NPI 1841650058
Social Worker - Clinical in Minneapolis, MN

Active since March 01, 2016PECOS EnrolledAccepts Medicare Assignment
2215 E LAKE ST, MINNEAPOLIS, MN 55407(612) 596-9438 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2025, Jun 12, 2019, Mar 1, 2016 (3 updates tracked since 2016).

About Shawn Ullrich Licsw NPPES

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

SHAWN ULLRICH LICSW (NPI 1841650058) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (21756) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1841650058
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSHAWN ULLRICHCredential: LICSW
Location Address2215 E LAKE STMinneapolis, MN 55407-4385
Mailing Address2215 E Lake StMinneapolis, MN 55407-4385
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 1, 2016
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1841650058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 21756
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303350 (MN)
2215 E LAKE ST, Minneapolis, MN 55407

Secondary Practice Location 1

Location 1901 S 2nd St Ste AMinneapolis, MN 55415-2123 · Phone (612) 383-1383 · Fax (612) 339-1890

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawn Ullrich Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951608595
PECOS Enrollment IDI20160328001038
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
39 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychologist
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychiatry & Neurology (Psychiatry)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Nurse Practitioner (Family)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Counselor (Professional)
2215 E LAKE ST
MINNEAPOLIS, MN 55407
Psychologist (Clinical)
2215 E LAKE ST
MINNEAPOLIS, MN 55407

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 Shawn Ullrich's NPI number?

The NPI number for Shawn Ullrich is 1841650058. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Where is Shawn Ullrich located?

Shawn Ullrich practices at 2215 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 596-9438.

What is Shawn Ullrich's specialty?

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

Is Shawn Ullrich enrolled in Medicare?

Yes. Shawn Ullrich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shawn Ullrich was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.