Individual provider Active NPI

Davida Nicole Sheree Sande Russell, LGSW,CSW

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1881560050
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6919 Issued in SD
Practice address
705 E 41St St Ste 200
Sioux Falls, SD 57105-6048
Phone
(605) 444-7500
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6919 SD Primary
Social Worker 104100000X 35364 MN

Addresses

Primary practice location

705 E 41St St Ste 200
Sioux Falls, SD 57105-6048

Mailing address

240 Grandview Ave W Apt 214
Roseville, MN 55113-4752
Phone (605) 254-8026

Other names 1

  • Davida Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35364MNMDSocial Worker
6919SDMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1881560050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GRANDVIEW AVE W APT 214",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134752",
            "telephone_number": "605-254-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 41ST ST STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056048",
            "telephone_number": "605-444-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDE RUSSELL",
        "first_name": "DAVIDA",
        "middle_name": "NICOLE SHEREE",
        "credential": "LGSW,CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6919",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "35364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIDA",
            "last_name": "RUSSELL",
            "credential": "LGSW,LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.