1. Home
  2. Directory
  3. Minnesota
  4. Chaska
  5. Social Worker
  6. NPI Profile

MRS. KRISTINE MARIA ERICKSON LICSW
NPI 1003085697
Social Worker - Clinical in Chaska, MN

Active since February 27, 2008Opted out of Medicare · through Mar 5, 2028
566 BAVARIA LN, BOX 71, CHASKA, MN 55318(952) 448-3625 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kristine Maria Erickson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTINE MARIA ERICKSON LICSW (NPI 1003085697) is an individual clinical provider in Chaska, Minnesota, licensed in Minnesota (12353) and active in the NPI registry since February 2008. She has opted out of Medicare through March 5, 2028.

NPPES Registry Identity

NPI1003085697
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTINE MARIA ERICKSONCredential: LICSW
Location Address566 BAVARIA LN, BOX 71Chaska, MN 55318-4597
Mailing Address566 Bavaria Ln, Box 71Chaska, MN 55318-4597 · (952) 448-3625
Phone(952) 448-3625
Sole ProprietorNo
Enumeration DateFebruary 27, 2008
✔ NPI 1003085697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 12353
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
566 BAVARIA LN, Chaska, MN 55318
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kristine Maria Erickson Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024
Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHAD A. HAYENGA M.A., LMFT
Marriage & Family Therapist
566 BAVARIA LN, BOX 71
CHASKA, MN 55318
Carver County (952) 448-3625
MR. WILLIAM GEORGE SCHULENBERG LAMFT, MA
Marriage & Family Therapist
566 BAVARIA LN
CHASKA, MN 55318
Carver County (612) 760-5500
BENJAMIN BEVIS MA LAMFT
Marriage & Family Therapist
566 BAVARIA LN
CHASKA, MN 55318
Carver County (952) 448-3625
MRS. SARAH ELIZABETH SUNDMAN LICSW
Social Worker (Clinical)
566 BAVARIA LN
CHASKA, MN 55318
Carver County (952) 448-3625
CROSS-GENERATION
Community/Behavioral Health
566 BAVARIA LN, BOX 71
CHASKA, MN 55318
Carver County (952) 448-3625
CROSS-GENERATION
Marriage & Family Therapist
566 BAVARIA LN
CHASKA, MN 55318
Carver County (952) 448-3625
LAUREN MOORE M.A.
Marriage & Family Therapist
566 BAVARIA LN
CHASKA, MN 55318
Carver County (952) 448-3625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Erickson's NPI number?

The NPI number for Kristine Erickson is 1003085697. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Kristine Erickson located?

Kristine Erickson practices at 566 Bavaria Ln Box 71, Chaska, MN 55318. The listed phone number is (952) 448-3625.

What is Kristine Erickson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristine Erickson enrolled in Medicare?

No. Kristine Erickson has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristine Erickson was last updated on February 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.