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ERIN BLACIK LICSW
NPI 1316301039
Social Worker in Crystal, MN

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Blacik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Herself Health Mn PC
12 mi
Internal Medicine
2004 FORD PKWY
Saint Paul, MN 55116
  • Reassigned Medicare billing, Minnesota enrollment
  • 62 clinicians in this Medicare group
NPI 1326775420 (612) 256-8225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (888) 290-1209
DR. CHRISTINA A BORYCZKA MD
Internal Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
SARAH MARY JOHNSON FNP-BC
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
JAMES J HESS & SCOTT ENDRES
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 537-3213
JENNIFER NELSON NP
Nurse Practitioner (Primary Care)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628
DR. CHRISTINE IRENE TRAXLER MD
Family Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (888) 290-1209
MARY K LACONIC OD
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 537-3213
JILL TITZE NP
Nurse Practitioner (Adult Health)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Hennepin County (763) 400-3628

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 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.

Where is Erin Blacik located?

Erin Blacik practices at 5200 Douglas Dr N, Crystal, MN 55429. The listed phone number is (888) 290-1209.

What is Erin Blacik's specialty?

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

Is Erin Blacik enrolled in Medicare?

Yes. Erin Blacik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Erin Blacik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Blacik reassigns Medicare benefits to Herself Health Mn PC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Blacik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 15 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.