Individual provider Active NPI

Michelle Rose Erickstad

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1437499118
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18851 Issued in MN
Practice address
653 Dayton Ave
Saint Paul, MN 55104-6631
Phone
(651) 330-2052
Fax
(651) 330-4077
NPI assigned
Feb 18, 2013
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18851 MN
Clinical Social Worker 1041C0700X 18851 MN Primary

Addresses

Primary practice location

653 Dayton Ave
Saint Paul, MN 55104-6631

Mailing address

653 Dayton Ave
Saint Paul, MN 55104-6631
Phone (651) 330-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18851MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Handyhelpllc Past Accepting new patients

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, 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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1437499118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "651-330-2052",
            "fax_number": "651-330-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046631",
            "telephone_number": "651-330-2052",
            "fax_number": "651-330-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSTAD",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "18851",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.