Active NPI
Michael Edgar Ferber, LP LICSW
- Clinical Social Worker
- Detroit Lakes, MN
National Provider Identifier
1568685055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7577
- Practice address
- 211 Holmes St W
Suite 203
Detroit Lakes, MN 56501-3023 - Phone
- (218) 847-0629
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0497 | MN | |
| Clinical Social Worker | 1041C0700X | 7577 | MN | Primary |
Addresses
Primary practice location
211 Holmes St W
Suite 203
Detroit Lakes, MN 56501-3023
Mailing address
33922 Lake Seven TRL
Frazee, MN 56544-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6245638 | Other | MN | MEDICA |
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 |
|---|---|---|---|
| LP0497 | MN | MD | Psychologist |
| 7577 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1568685055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33922 LAKE SEVEN TRL",
"city": "FRAZEE",
"state": "MN",
"postal_code": "565448920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HOLMES ST W",
"address_2": "SUITE 203",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013023",
"telephone_number": "218-847-0629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERBER",
"first_name": "MICHAEL",
"middle_name": "EDGAR",
"credential": "LP LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0497",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "7577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6245638",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.