Erika Fortin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26780 Issued in MN

Practice address

1497 Breda Ave
Saint Paul, MN 55108-2608

Phone

(651) 983-3501

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1518531797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 BREDA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082608",
            "telephone_number": "651-983-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 BREDA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082608",
            "telephone_number": "651-983-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "ERIKA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryana Forsberg
• Linnea Ruth Forsell, R.PH.
• Rylee Forshee
• Nicole Forsythe, CRNA
• Arden Fortenberry, CNP
• Laura Fortmeyer, CRNA
• Laura Fortuna, PHARMD
• Elliott Scott Foss, PA-C
• Thyra Anne Fossum, PH.D.
• Rachel Ann Foster Belkin, PHD

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.