Active NPI
Marilyn Erickson, MSW, MPH, LICSW
- Clinical Social Worker
- Lakeville, MN
National Provider Identifier
1427251024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11243
- Practice address
- 17305 Cedar Ave S
Lakeville, MN 55044-3901 - Phone
- (952) 435-4144
- NPI assigned
- Jun 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11243 | MN | Primary |
Addresses
Primary practice location
17305 Cedar Ave S
Lakeville, MN 55044-3901
Mailing address
208 W 37TH St
Minneapolis, MN 55409-1205
Phone (612) 827-7467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11243 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427251024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W 37TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091205",
"telephone_number": "612-827-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 CEDAR AVE S",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443901",
"telephone_number": "952-435-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "MARILYN",
"credential": "MSW, MPH, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "11243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.