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

Jill Marie Russell, LICSW

Individual provider Clinical Social Worker · NPI 1043149586

Jill Marie Russell, LICSW is a Clinical Social Worker in Brooklyn Center, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

5421 Brooklyn Blvd
Brooklyn Center, MN 55429-3359
Phone: (763) 504-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22812 (MN)

Record details

NPI number1043149586
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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