Active NPI
Shannon Marie Murphy, MSW, LICSW, LCSW
- Clinical Social Worker
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34352
- Practice address
- 1155 Ford Rd Ste B
St Louis Park, MN 55426-1115 - Phone
- (952) 378-1800
- Fax
- (952) 378-1714
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW19043 | FL | |
| Clinical Social Worker | 1041C0700X | 34352 | MN | Primary |
Addresses
Primary practice location
1155 Ford Rd Ste B
St Louis Park, MN 55426-1115
Mailing address
4240 Park Glen Rd
St Louis Park, MN 55416-5427
Phone (612) 925-6033
Other practice location 1
3017 Garfield Ave Apt 2
Minneapolis, MN 55408-2924
Phone (352) 262-6263 ext. 26263
Other practice location 2
4027 County Road 25
Minneapolis, MN 55416-2629
Phone (612) 925-6033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3017 Garfield Ave
Apt 2
Minneapolis, MN 55408-2924
3017 Garfield Ave Apt
Suite 2
Minneapolis, MN 55408-2924
621 W Lake St
Suite 350
Minneapolis, MN 55408-2952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW19043 | FL | MD | Clinical Social Worker |
| 34352 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyn-Lake Psychotherapy and Wellness LTD. | Current | Accepting new patients | |
| Associated Clinic of Psychology Inc | Past | Accepting new patients | |
| Medicine Lake Consultation Group,PLLC | Past | Accepting new patients |
Locations
621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990
2900 Thomas Ave S
Ste 100
Minneapolis, MN 55416
Interoperability endpoints
- shannon.murphy@489656322949124.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1609355163
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1588741292
-
- Psychiatry Physician
- St Louis Park, MN
- NPI 1881753564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1609538909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165427",
"telephone_number": "612-925-6033",
"fax_number": "612-925-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 FORD RD STE B",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261115",
"telephone_number": "952-378-1800",
"fax_number": "952-378-1714"
}
],
"practiceLocations": [
{
"address_1": "3017 Garfield Ave Apt 2",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554082924",
"country_code": "US",
"telephone_number": "352-262-6263 x26263",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4027 County Road 25",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554162629",
"country_code": "US",
"telephone_number": "612-925-6033",
"fax_number": "612-925-8496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURPHY",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "MSW, LICSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19043",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "34352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.