| Mr Clark J Erickson, LICSW | |
|
6701 Penn Ave So, #301, Resonnce Center, Richfield, MN 55423-2093 | |
| (612) 861-6129 | |
| (612) 861-7589 |
| Full Name | Mr Clark J Erickson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 6701 Penn Ave So, Richfield, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316035231 | NPI | - | NPPES |
| 41-1576550 | Other | MN | BHP |
| 901783600 | Other | MN | MN CARE |
| 143648 | Other | MN | UCARE |
| HP37280 | Other | MN | HEALTHPARTNERS |
| 504S6ER | Other | FM | BCBS |
| 62-60891 | Other | MN | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1964 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark J Erickson, LICSW 6701 Penn Ave So, #301, Resonnce Center, Richfield, MN 55423-2093 Ph: (612) 861-6129 | Mr Clark J Erickson, LICSW 6701 Penn Ave So, #301, Resonnce Center, Richfield, MN 55423-2093 Ph: (612) 861-6129 |
Stephanie Zimmerman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-331-9413 | |
Claire Niessen-derry, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 200, Richfield, MN 55423 Phone: 320-309-5910 | |
Alexandra Subbaraman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 440, Richfield, MN 55423 Phone: 612-712-7200 | |
Marnie K Carlson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7907 | |
Jan Marie Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 500, Richfield, MN 55423 Phone: 612-886-3706 | |
Kevin P Callaghan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 E 66th St, Richfield, MN 55423 Phone: 763-545-6558 | |
Mrs. Teri Dimond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6701 Penn Ave S, Suite 301, Richfield, MN 55423 Phone: 952-608-8403 Fax: 612-861-7589 |