Kristine Maria Erickson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12353 Issued in MN

Practice address

566 Bavaria LN
Box 71
Chaska, MN 55318-4597

Phone

(952) 448-3625

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 5, 2024 through Mar 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cross-Generation

  • Community/Behavioral Health Agency
  • Chaska, MN
  • NPI 1659542538
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1003085697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 BAVARIA LN",
            "address_2": "BOX 71",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184597",
            "telephone_number": "952-448-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 BAVARIA LN",
            "address_2": "BOX 71",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184597",
            "telephone_number": "952-448-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "KRISTINE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison A Elstad
• Jessica Rose Emerson, LGSW
• Kristina Empanger, OT
• Elisha Ann Engelen, LMFT
• Allison Marie Erdmann, DPT
• Laurel L Erickson, M.D.
• David Erlandson, DPT
• Stephanie Ess, MA, LMFT
• Julie Elizabeth Ewasiuk, MD
• Eyewearspecialists

• Clinical Social Worker in Chaska, MN
• Providers in Chaska, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.