Individual provider Active NPI

Erica Cerda

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1801333125
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26096 Issued in MN
Practice address
1913 S Washington St Ste C
Grand Forks, ND 58201-6339
Phone
(701) 317-6590
NPI assigned
Jan 24, 2017
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304861 MN
Social Worker 104100000X 5152 ND
Clinical Social Worker 1041C0700X 26096 MN Primary

Addresses

Primary practice location

1913 S Washington St Ste C
Grand Forks, ND 58201-6339

Mailing address

1913 S Washington St Ste C
Grand Forks, ND 58201-6339
Phone (701) 317-6590

Other practice location 1

210 Gateway Dr NE Ste 1
East Grand Forks, MN 56721-1621
Phone (218) 681-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20220111002619 ND Practitioner - Clinical Social Worker 1951792332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodnote Therapy PLLCGroup PAC ID 0042601429, 3 clinicians

Practice addresses (Care Compare)

1913 S Washington St
Suite C
Grand Forks, ND 58201-6339
Phone (701) 757-1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304861MNMDAddiction (Substance Use Disorder) Counselor
5152NDMDSocial Worker
26096MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodnote Therapy PLLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

1913 S Washington St
Ste C
Grand Forks, ND 58201
Phone (701) 317-6590

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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1801333125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 S WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016339",
            "telephone_number": "701-317-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 S WASHINGTON ST STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016339",
            "telephone_number": "701-317-6590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Gateway Dr NE Ste 1",
            "address_purpose": "LOCATION",
            "city": "East Grand Forks",
            "state": "MN",
            "postal_code": "567211621",
            "country_code": "US",
            "telephone_number": "218-681-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERDA",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304861",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.