Kristin Gildseth Erie, MSSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10854 Issued in MN

Practice address

624 13TH St S
Range Mental Healthcenter
Virginia, MN 55792-3149

Phone

(218) 749-2881

Fax

(218) 749-3806

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

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.

• Range Mental Health Center Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Virginia, MN
  • NPI 1770872491
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Miss Kristin Marie Gildseth Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2014.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1255663142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557921188",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 13TH ST S",
            "address_2": "RANGE MENTAL HEALTHCENTER",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923149",
            "telephone_number": "218-749-2881",
            "fax_number": "218-749-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIE",
        "first_name": "KRISTIN",
        "middle_name": "GILDSETH",
        "credential": "MSSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "LGSW10854",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "GILDSETH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Rose Elmberg
• Macie Joann Emerson
• Ashley Jo Emery
• Jessica E Erickson
• Mark Arnold Erickson, D.D.S
• Kara Esler
• Theresa Marie Espinoza
• Essentia Health Virginia LLC
• Essentia Health Virginia LLC
• Essentia Health Virginia LLC

• All providers in Virginia, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.