Erin Zeller, LICSW
Individual provider Active NPI Clinical Social Worker · Jordan, MN
NPI 1457726895 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1457726895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21797 (MN)
- Practice address
- 603 Hope Ave
Jordan, MN 55352-1860 - Phone
- (952) 492-3624
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160128000764 | MN | Practitioner - Clinical Social Worker | 9234382904 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar House Inc. | Current |
Accepting new patients |
Locations
329 Faribault Rd
Faribault, MN 55021
Phone (507) 334-1030
603 Hope Ave
Jordan, MN 55352
Phone (952) 492-3624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21797 | MN | Yes |
Addresses
Primary practice location
603 Hope Ave
Jordan, MN 55352-1860
Mailing address
329 Faribault Rd
Faribault, MN 55021-5780
Phone (507) 334-1983
Other providers in Jordan, MN
- Valleyview of Jordan, LLC
- Vitalnest Home Care LLC
- Julie Ann Wolter
- Wordy Bird Pediatric Speech and Language Services LLC
- Joan Marie Young
All providers in Jordan, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.