Brenda Jo Erie, LICSW
Individual provider Active NPI Clinical Social Worker · Dickinson, ND
NPI 1003122987 · NPPES record last updated Jun 22, 2011
Key facts
- NPI
- 1003122987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2668 (ND)
- Practice address
- 448 21St St W Ste D1
Therapy Solutions
Dickinson, ND 58601-2647 - Phone
- (701) 483-1000
- Fax
- (701) 483-1001
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Solutions LLC
Practice addresses (Care Compare)
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110926000924 | ND | Practitioner - Clinical Social Worker | 1153506464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Clinical | Current |
Accepting new patients |
Locations
1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000
448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2668 | ND | Yes |
| School Social Worker | 1041S0200X | 2668 | ND |
Addresses
Primary practice location
448 21St St W Ste D1
Therapy Solutions
Dickinson, ND 58601-2647
Mailing address
448 21St St W Ste D-1
Therapy Solutions
Dickinson, ND 58601-3462
Phone (701) 483-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4560002242 | Medicaid | ND |
Other providers in Dickinson, ND
- Christa Enebo
- Engagement PLLC
- Jody L Enget
- Shannon L Engle
- Evan E Entze
- Jada Erie
- Jared Erie
- Erin Helen Erin Davidheiser
- Cristal Estrada
- Evergreen Dickinson, LLC
All providers in Dickinson, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.