Individual provider Active NPI

Taylor Marie Ernste, LGSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1972371540
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32744 Issued in MN
Practice address
1400 Madison Ave Ste 610
Mankato, MN 56001-5488
Phone
(507) 387-3777
Fax
(507) 344-1726
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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 32744 MN Primary

Addresses

Primary practice location

1400 Madison Ave Ste 610
Mankato, MN 56001-5488

Mailing address

1808 Creek LN
Northfield, MN 55057-3436
Phone (507) 301-5596

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
I20260513001336 MN Practitioner - Clinical Social Worker 2365911989 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)

104 E Liberty St
Apt 3
Mankato, MN 56001-3891

830 N Broad St
Suite 300
Mankato, MN 56001-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adult, Child & Family Services, LLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

830 N Broad St
Ste 300
Mankato, MN 56001

1400 Madison Ave
Ste 610
Mankato, MN 56001
Phone (507) 387-3777

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1972371540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 CREEK LN",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573436",
            "telephone_number": "507-301-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 610",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488",
            "telephone_number": "507-387-3777",
            "fax_number": "507-344-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNSTE",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "32744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.