KAMRIE LYNNE REED ERICSON (LICSW) – Clinical Social Worker, NPI 1720894926

KAMRIE LYNNE REED ERICSON (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 29733 (MN). The NPI Number for KAMRIE LYNNE REED ERICSON (LICSW) is 1720894926

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAMRIE LYNNE REED ERICSON (LICSW)
NPI
1720894926
Phone
(314) 629-7110
Address
3821 29TH AVE S
Enumeration Date
4 December 2024
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528927690100
Graduation Year
2017 (9 years ago)
PAC ID
7113453580
Group Practice PAC ID
2163525031
Professional Enrollment ID
I20241209002303
Address ID
MN553067012BU1751XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for KAMRIE LYNNE REED ERICSON (LICSW)

  • 3821 29TH AVE S

    MINNEAPOLIS, MN 554063103

    Phone: (314) 629-7110

    Type: Mailing

  • 1751 SOUTHCROSS DR W

    BURNSVILLE, MN 553067012

    Phone: (952) 892-7690

    Fax: (952) 898-4930

    Type: Location

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: 2024-12-09

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
I20241209002303IClinical 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 55406)

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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: 2163525031View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How do payers reference KAMRIE LYNNE REED ERICSON (LICSW)?
For KAMRIE LYNNE REED ERICSON (LICSW), use NPI 1720894926 as the unique 10-digit identifier.
Active or inactive — what applies to KAMRIE LYNNE REED ERICSON (LICSW)?
You should see KAMRIE LYNNE REED ERICSON (LICSW) as active in CMS-hosted NPPES data.
What expertise is attributed to KAMRIE LYNNE REED ERICSON (LICSW)?
KAMRIE LYNNE REED ERICSON (LICSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is KAMRIE LYNNE REED ERICSON (LICSW) located near Minneapolis?
KAMRIE LYNNE REED ERICSON (LICSW) currently maps to Minneapolis, Minnesota in this extract.
Can I trust this NPI listing for KAMRIE LYNNE REED ERICSON (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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