Michelle Rose Erickstad, is a
Social Worker - Clinical based in Saint Paul, Minnesota. Michelle Rose Erickstad is licensed to practice in Minnesota (license number 18851) and her current practice location is
653 Dayton Ave, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 330-2052.
NPI number for Michelle Rose Erickstad is 1437499118 and her current mailing address is 653 Dayton Ave, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437499118.
Healthcare Provider's Profile
| Full Name | Michelle Rose Erickstad |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 653 Dayton Ave, Saint Paul, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437499118
- Provider Enumeration Date: 02/18/2013
- Last Update Date: 02/18/2013
Medical Identifiers
Medical identifiers for Michelle Rose Erickstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437499118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 18851 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 18851 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Rose Erickstad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle Rose Erickstad, 653 Dayton Ave, Saint Paul, MN 55104-6631 Ph: (651) 330-2052 | Michelle Rose Erickstad, 653 Dayton Ave, Saint Paul, MN 55104-6631 Ph: (651) 330-2052 |
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