Individual provider Active NPI

Emily Corcoran Erickson, MSW, LICSW

  • Mental Health Counselor
  • Richfield, MN
National Provider Identifier
1861172884
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6636 Cedar Ave S Ste 360
Richfield, MN 55423-2712
Phone
(612) 268-5858
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28157 MN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6636 Cedar Ave S Ste 360
Richfield, MN 55423-2712

Mailing address

5448 43Rd Ave S
Minneapolis, MN 55417-2236
Phone (612) 590-4229

Other practice location 1

15 8th Ave S
Hopkins, MN 55343-7667
Phone (952) 767-0439

Other practice location 2

7401 Metro Blvd Ste 250
Edina, MN 55439-3062
Phone (612) 268-5858

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
I20240617003019 MN Practitioner - Clinical Social Worker 7810430071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

6636 Cedar Ave S
Suite 360
Richfield, MN 55423-2712
Phone (612) 268-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Apr 24, 2024 Accepting new patients

Locations

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393

6636 Cedar Ave S
Ste 360
Richfield, MN 55423
Phone (612) 998-8934

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1861172884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 43RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172236",
            "telephone_number": "612-590-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 CEDAR AVE S STE 360",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232712",
            "telephone_number": "612-268-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553437667",
            "country_code": "US",
            "telephone_number": "952-767-0439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 Metro Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393062",
            "country_code": "US",
            "telephone_number": "612-268-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "EMILY",
        "middle_name": "CORCORAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28157",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.