Erin Ernestine Forsman, M.S.W., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17474 Issued in MN

Practice address

1280 N Birch Lake Blvd
White Bear Lake, MN 55110-6708

Phone

(651) 429-8544

Fax

(651) 407-5301

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northeast Youth & Family Services

  • Community Health Clinic/Center
  • White Bear Lake, MN
  • NPI 1073098810
  NPD (past)
• Northeast Youth & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreview, MN
  • NPI 1639275852
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1083894927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N BIRCH LAKE BLVD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106708",
            "telephone_number": "651-429-8544",
            "fax_number": "651-407-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N BIRCH LAKE BLVD",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106708",
            "telephone_number": "651-429-8544",
            "fax_number": "651-407-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSMAN",
        "first_name": "ERIN",
        "middle_name": "ERNESTINE",
        "credential": "M.S.W., LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Marie Flottmeier
• Stephanie Irene Footh
• For Your Well Being Chiropractic, Inc
• For Your Well Being Chiropractic, S.C.
• Forensic Mental Health Specialists (Emergence Behavioral Health)
• Francine Fox
• Rebecca R Fraenkel, LP
• Elaine M Francis, MD
• Alex Thomas Fredrickson, MD
• Freedom Cars Mobility Store

• Clinical Social Worker in White Bear Lake, MN
• Providers in White Bear Lake, 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 Nov 8, 2007; 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.