Individual provider Active NPI

Erin Elizabeth Swenson, LICSW

  • Clinical Social Worker
  • Fergus Falls, MN
National Provider Identifier
1821374307
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16184 Issued in MN
Practice address
21081 County Highway 1
Fergus Falls, MN 56537-7603
Phone
(218) 736-6987
Fax
(218) 736-6980
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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 16184 MN Primary

Addresses

Primary practice location

21081 County Highway 1
Fergus Falls, MN 56537-7603

Mailing address

21081 County Highway 1
Fergus Falls, MN 56537-7603
Phone (218) 736-6987

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
I20120131000334 MN Practitioner - Clinical Social Worker 9739346966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Self Mental Health PLLPGroup PAC ID 7618362955, 3 clinicians

Practice addresses (Care Compare)

116 E Lincoln Ave
Fergus Falls, MN 56537-2217
Phone (218) 382-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16184MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Self Mental Health, PLLP Clinical CurrentSince Jan 3, 2022 Accepting new patients

Locations

116 E Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 205-1079

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1821374307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21081 COUNTY HIGHWAY 1",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377603",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21081 COUNTY HIGHWAY 1",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377603",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.