Individual provider Active NPI

Erika Louise Lake, LCSW

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1265707848
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1330 23Rd St S
Ste B
Fargo, ND 58103
Phone
(701) 526-4898
Fax
(701) 205-4734
NPI assigned
Mar 15, 2012
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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 NU Primary

Addresses

Primary practice location

1330 23Rd St S
Ste B
Fargo, ND 58103

Mailing address

1330 23Rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20170331002151 ND Practitioner - Clinical Social Worker 0345525481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Story Counseling Services PLLCGroup PAC ID 9335579598, 9 clinicians

Practice addresses (Care Compare)

1330 23Rd St S
Fargo, ND 58103-3705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5124NDMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Therapy Services PLLC Current Accepting new patients
New Story Counseling Services PLLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

1330 23rd St S
Fargo, ND 58103
Phone (701) 526-4898

1330 23rd St S
Ste B
Fargo, ND 58103
Phone (701) 526-4898

1330 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 300-8879

Organizations & group practices 2

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1265707848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 23RD ST S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-526-4898",
            "fax_number": "701-205-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 23RD ST S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-526-4898",
            "fax_number": "701-205-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ERIKA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.