Individual provider Active NPI

Jessica Lynn Erickson

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1962354845
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29869 Issued in MN
Practice address
740 E 24TH St
Minneapolis, MN 55404-3862
Phone
(920) 355-1253
NPI assigned
Feb 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 29869 MN Primary

Addresses

Primary practice location

740 E 24TH St
Minneapolis, MN 55404-3862

Mailing address

8335 Hyde CT S
Cottage Grove, MN 55016-3229
Phone (715) 297-3919

Other practice location 1

3111 1st Ave S
Minneapolis, MN 55408-3136
Phone (920) 355-1253

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
I20260302002432 MN Practitioner - Clinical Social Worker 6305328105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

740 E 24TH St
Minneapolis, MN 55404-3862

8335 Hyde CT S
Cottage Grove, MN 55016-3229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Teen Challenge, Inc CurrentSince Feb 6, 2026 Accepting new patients

Locations

2756 Douglas Dr N
Minneapolis, MN 55422
Phone (763) 544-9126

740 E 24th St
Minneapolis, MN 55404
Phone (612) 238-6238

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

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": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1962354845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 HYDE CT S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163229",
            "telephone_number": "715-297-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 24TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043862",
            "telephone_number": "920-355-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083136",
            "country_code": "US",
            "telephone_number": "920-355-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.