Individual provider Active NPI

Erik S Nitchie, LICSW

  • Clinical Social Worker
  • Fairmont, MN
National Provider Identifier
1205710076
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31776 Issued in MN
Practice address
1420 N State St
Fairmont, MN 56031-3619
Phone
(507) 235-6070
Fax
(855) 847-9876
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 31776 MN Primary

Addresses

Primary practice location

1420 N State St
Fairmont, MN 56031-3619

Mailing address

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

Other practice location 1

521 Pfau St
Mankato, MN 56001-7032
Phone (507) 779-7366

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
I20251008002779 MN Practitioner - Clinical Social Worker 4587161260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eunoia Family Resource Center PAGroup PAC ID 7214003680, 10 clinicians

Practice addresses (Care Compare)

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31776MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Family Resource Center PA CurrentSince Jul 31, 2025 Accepting new patients

Locations

1420 N State St
Fairmont, MN 56031
Phone (507) 235-6070

521 Pfau St
Mankato, MN 56001
Phone (507) 344-0621

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1205710076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619",
            "telephone_number": "507-235-6070",
            "fax_number": "855-847-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619",
            "telephone_number": "507-235-6070",
            "fax_number": "855-847-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Pfau St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560017032",
            "country_code": "US",
            "telephone_number": "507-779-7366",
            "fax_number": "855-847-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITCHIE",
        "first_name": "ERIK",
        "middle_name": "S",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

Verify at the official NPI Registry.