Individual provider · Type 1 NPI

Russ Shy

Clinical Social Worker · Bend, OR

NPI number 1336857622 Active

Practice location

760 NW Harriman St
Bend, OR 97703-2789

Call (231) 631-5952 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA16842 (OR)

Clinical Social Worker: 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 interpers…

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About NPI 1336857622

Russ Shy's National Provider Identifier is 1336857622, issued on Nov 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Aug 19, 2025.