MR. ERIC JOSEPH TRUDELL (LICSW) – Clinical Social Worker, NPI 1598197865

MR. ERIC JOSEPH TRUDELL (LICSW) is a healthcare provider. based in Princeton, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 20921 (MN). The NPI Number for MR. ERIC JOSEPH TRUDELL (LICSW) is 1598197865

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERIC JOSEPH TRUDELL (LICSW)
NPI
1598197865
Phone
(763) 389-5403
Address
7721 90TH ST
Enumeration Date
8 August 2013
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637801520
Graduation Year
2011 (15 years ago)
PAC ID
7618103342
Group Practice PAC ID
2264432681
Professional Enrollment ID
I20131202000362
Address ID
MN554335861CO199XXNWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MR. ERIC JOSEPH TRUDELL (LICSW)

  • 7721 90TH ST

    PRINCETON, MN 553716818

    Phone: (763) 389-5403

    Type: Mailing

  • 237 2ND AVE SW STE 117

    CAMBRIDGE, MN 550081500

    Phone: (763) 780-1520

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131202000362IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55371)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264432681View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What NPI should I save for MR. ERIC JOSEPH TRUDELL (LICSW)?
Save NPI 1598197865 if you need a stable reference for MR. ERIC JOSEPH TRUDELL (LICSW).
Is MR. ERIC JOSEPH TRUDELL (LICSW) currently active in the NPI registry?
CMS-published data lists MR. ERIC JOSEPH TRUDELL (LICSW) as an active registrant.
What field does MR. ERIC JOSEPH TRUDELL (LICSW) work in?
You can think of MR. ERIC JOSEPH TRUDELL (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is MR. ERIC JOSEPH TRUDELL (LICSW)'s primary listing?
We display Princeton, Minnesota because that is what the record indicates for MR. ERIC JOSEPH TRUDELL (LICSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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