ERIN BLACIK LICSW
NPI 1316301039
Social Worker in Crystal, MN

Q: What is Erin Blacik's NPI number?

The NPI number for Erin Blacik is 1316301039. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Q: What is Erin Blacik's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Blacik was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment

5200 DOUGLAS DR N, CRYSTAL, MN 55429(888) 290-1209(833) 973-3527 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erin Blacik Licsw NPPES

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

ERIN BLACIK LICSW (NPI 1316301039) is an individual social worker in Crystal, Minnesota, licensed in New York (090065) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316301039

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameERIN BLACIKCredential: LICSW

Location Address5200 DOUGLAS DR NCrystal, MN 55429-3104

Mailing Address3415 Lee Ave NCrystal, MN 55422-2857 · (612) 860-5371

Phone(888) 290-1209

Fax(833) 973-3527

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 8, 2016

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1316301039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 090065

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

5200 DOUGLAS DR N, Crystal, MN 55429

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Secondary Practice Locations 2

Location 110077 Dogwood St NW Ste 200Coon Rapids, MN 55448-5287 · Phone (763) 489-7122

Location 214 E 28th StNew York, NY 10016-7448 · Phone (212) 471-0733

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Blacik Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123394897

PECOS Enrollment IDI20171024003268

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

MRS. KATILYN MARIE DAVIS CNP

Nurse Practitioner (Gerontology)