Individual provider Active NPI

Errin Marie Musich, LICSW

  • Clinical Social Worker
  • Roseville, MN
National Provider Identifier
1083806657
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17579 Issued in MN
Practice address
2277 Highway 36 W Ste 160
Roseville, MN 55113-3830
Phone
(763) 575-8086
NPI assigned
Aug 16, 2007
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17579 MN Primary

Addresses

Primary practice location

2277 Highway 36 W Ste 160
Roseville, MN 55113-3830

Mailing address

14000 Northdale Blvd
Ste I
Rogers, MN 55374-4663
Phone (763) 575-8086

Other identifiers 5

IdentifierTypeStateIssuer
61320MUOtherMNBCBS
1052980OtherMNPREFERRED ONE
HP84399OtherMNHEALTH PARTNERS
085477000MedicaidMN
152556OtherMNU CARE

Other names 1

  • Errin Marie Determan Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000694 MN Practitioner - Clinical Social Worker 9931295102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanda Counseling and Psychological ServicesGroup PAC ID 6608192083, 20 clinicians

Practice addresses (Care Compare)

4969 Olson Memorial Hwy
Golden Valley, MN 55422-5138
Phone (763) 575-8086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Vanda Counseling and Psychological Services CurrentSince Dec 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Aug 11, 2017 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2020 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

4969 Olson Memorial Hwy
Minneapolis, MN 55422
Phone (763) 575-8086

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

2277 Highway 36 W
Ste 160
Roseville, MN 55113
Phone (763) 575-8086

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1083806657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 NORTHDALE BLVD",
            "address_2": "STE I",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744663",
            "telephone_number": "763-575-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 HIGHWAY 36 W STE 160",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133830",
            "telephone_number": "763-575-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICH",
        "first_name": "ERRIN",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61320MU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1052980",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP84399",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085477000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "152556",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERRIN",
            "last_name": "DETERMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.