Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Russwinkel, LSW

Individual provider Social Worker · NPI 1336897404

Blake Russwinkel, LSW is a Social Worker in Collinsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2014 Vandalia St
Collinsville, IL 62234-4848
Phone: (618) 345-9536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150104739 (IL)

Record details

NPI number1336897404
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedMarch 16, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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