Individual provider Active NPI

Corrie Ehrbright, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1538618566
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25763 Issued in MN
Practice address
324 W Superior St Ste 911
Duluth, MN 55802-1717
Phone
(218) 270-5555
NPI assigned
Oct 3, 2016
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 25763 MN Primary

Addresses

Primary practice location

324 W Superior St Ste 911
Duluth, MN 55802-1717

Mailing address

1509 E Superior St Apt 203
Duluth, MN 55812-4402
Phone (218) 270-4449

Other practice location 1

5 N 3rd Ave W
Suite 310
Duluth, MN 55802-1614
Phone (218) 740-2346

Other practice location 2

205 W 2nd St Ste 437
Duluth, MN 55802-1922
Phone (218) 722-2005

Other practice location 3

1509 E Superior St Apt 203
Duluth, MN 55812-4402
Phone (218) 270-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180405001963 MN Practitioner - Clinical Social Worker 3971866872

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1509 E Superior St
Apt 203
Duluth, MN 55812-4402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1538618566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E SUPERIOR ST APT 203",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558124402",
            "telephone_number": "218-270-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 911",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021717",
            "telephone_number": "218-270-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 N 3rd Ave W",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021614",
            "country_code": "US",
            "telephone_number": "218-740-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W 2nd St Ste 437",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021922",
            "country_code": "US",
            "telephone_number": "218-722-2005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 E Superior St Apt 203",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558124402",
            "country_code": "US",
            "telephone_number": "218-270-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHRBRIGHT",
        "first_name": "CORRIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.