Individual provider Active NPI

Erica Lynn Harrison

  • Social Worker
  • Shoreline, WA
National Provider Identifier
1689299562
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61624672 Issued in WA
Practice address
14803 15TH Ave NE
Shoreline, WA 98155-7110
Phone
(206) 362-7282
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61624672 WA Primary

Addresses

Primary practice location

14803 15TH Ave NE
Shoreline, WA 98155-7110

Mailing address

14803 15TH Ave NE
Shoreline, WA 98155-7110
Phone (206) 362-7282

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
I20251104003953 MN Practitioner - Clinical Social Worker 7416447883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagan Counseling ClinicGroup PAC ID 2860304045, 62 clinicians

Practice addresses (Care Compare)

3450 Oleary LN
Eagan, MN 55123-2340
Phone (651) 454-0114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61624672WAMDSocial Worker
35261MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Counseling Clinic CurrentSince Aug 17, 2025 Accepting new patients
Therapeutic Health Services PastSince Jun 1, 2020 Accepting new patients
Therapeutic Health Services PastSince Aug 23, 2020 Accepting new patients

Locations

3450 Oleary Ln
Saint Paul, MN 55123
Phone (651) 454-0114

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1689299562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557110",
            "telephone_number": "206-362-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14803 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557110",
            "telephone_number": "206-362-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61624672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.