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: July 19, 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
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

Secondary Practice Locations 2

Location 114 E 28th StNew York, NY 10016-7448 · Phone (212) 471-0733
Location 210077 Dogwood St NW Ste 200Coon Rapids, MN 55448-5287 · Phone (763) 489-7122

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 10

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

Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Optometrist
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Internal Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Adult Health)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Primary Care)
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Family Medicine
5200 DOUGLAS DR N
CRYSTAL, MN 55429
Nurse Practitioner (Gerontology)
5200 DOUGLAS DR N
CRYSTAL, MN 55429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316301039, enumerated as an "individual" on April 08, 2016.

The provider is located at 5200 DOUGLAS DR N CRYSTAL, MN 55429 and the phone number is (888) 290-1209.

Social Worker with taxonomy code 104100000X.