Individual provider Active NPI

Erin Faricy Price, LICSW MSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1811051063
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15363 Issued in MN
Practice address
6550 York Ave S Ste 300
Edina, MN 55435
Phone
(952) 374-9100
Fax
(952) 500-9281
NPI assigned
Dec 21, 2006
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 15363 MN Primary

Addresses

Primary practice location

6550 York Ave S Ste 300
Edina, MN 55435

Mailing address

6550 York Ave S Ste 300
Edina, MN 55435-2334
Phone (952) 374-9110

Other identifiers 1

IdentifierTypeStateIssuer
897967700MedicaidMN

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
I20050616000750 MN Practitioner - Clinical Social Worker 0244274561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Relate IncGroup PAC ID 8224005491, 22 clinicians

Practice addresses (Care Compare)

5125 County Rd
101 Suite 300
Minnetonka, MN 55345-4157
Phone (952) 932-7277

7700 Equitable Dr
Suite 100
Eden Prairie, MN 55344-3685
Phone (952) 932-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15363MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Relate Inc CurrentSince Jun 1, 2005 Accepting new patients

Locations

7700 Equitable Dr
Ste 100
Eden Prairie, MN 55344

5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (952) 230-3958

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1811051063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352334",
            "telephone_number": "952-374-9110",
            "fax_number": "952-500-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-374-9100",
            "fax_number": "952-500-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ERIN",
        "middle_name": "FARICY",
        "credential": "LICSW MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897967700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.