Ericka Lanelle Bassey, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18505 Issued in MN

Practice address

553 Fairview Avenue N.
St. Paul, MN 55104

Phone

(651) 379-5881

Fax

(651) 379-5968

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Unique Family Service, Inc

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1306239892
  Medicare reassignment NPD
• Ahavah Birthworks

  • Health Service Clinic/Center
  • Minneapolis, MN
  • NPI 1669842209
  NPD (past)
• Goodwill Easter Seals Minnesota

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1376759647
  NPD (past)
• Health Empowerment Institute

  dba Health Empowerment Resource Center

  • Women's Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1831328756
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1730499310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 FAIRVIEW AVENUE N.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-379-5881",
            "fax_number": "651-379-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 FAIRVIEW AVENUE N.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-379-5881",
            "fax_number": "651-379-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEY",
        "first_name": "ERICKA",
        "middle_name": "LANELLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Bashe
• Abyan Bashir, PSYCHOTHERAPIST
• Rowda Madad Bashir
• Shukri Bashir, LPCC
• Basra Home Health Care LLC
• Mfon Bassey
• Abigail K Bassier
• Maria Bataglia
• Sonja M Batalden, CNM
• Kimberly Bateman, PSY.D.

• 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 Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.