Individual provider Active NPI

Erin Keto-Sherman

  • Clinical Social Worker
  • Woodbury, MN
National Provider Identifier
1891470068
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28307 Issued in MN
Practice address
2040 Woodwinds Dr
Woodbury, MN 55125-2522
Phone
(651) 259-9750
Fax
(651) 259-9790
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 28307 MN Primary

Addresses

Primary practice location

2040 Woodwinds Dr
Woodbury, MN 55125-2522

Mailing address

9460 Keswick Ave N
Stillwater, MN 55082-4684
Phone (651) 442-2369

Other names 1

  • Erin Keto Former name

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
I20231003002252 MN Practitioner - Clinical Social Worker 4981058393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone Clinic, LLC CurrentSince Jan 1, 2024 Accepting new patients
Aris Behavioral Health LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

6625 Lyndale Ave S
Ste 500
Richfield, MN 55423
Phone (612) 886-3604

2040 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 259-9750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1891470068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 KESWICK AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824684",
            "telephone_number": "651-442-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252522",
            "telephone_number": "651-259-9750",
            "fax_number": "651-259-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETO-SHERMAN",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KETO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.