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ERICA WICKODA MSW, LICSW
NPI 1578064101
Social Worker - Clinical in Minneapolis, MN

Active since February 28, 2018
4305 41ST AVE S, MINNEAPOLIS, MN 55406(612) 412-1453 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 24, 2023, Feb 28, 2018 (2 updates tracked since 2018).

About Erica Wickoda Msw, Licsw NPPES

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

ERICA WICKODA MSW, LICSW (NPI 1578064101) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (29604) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1578064101
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERICA WICKODACredential: MSW, LICSW
Location Address4305 41ST AVE SMinneapolis, MN 55406-4037
Mailing Address410 E 48th St Ste 2Minneapolis, MN 55419-5651 · (612) 412-1453
Phone(612) 412-1453
Sole ProprietorNo
Enumeration DateFebruary 28, 2018
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1578064101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 29604✔ Licensed in WA · SC60832295
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.
4305 41ST AVE S, Minneapolis, MN 55406
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Other Names 1

Former Name (1)Erica Wickstrom

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 Erica Wickoda's NPI number?

The NPI number for Erica Wickoda is 1578064101. It was assigned to this individual provider in the NPPES registry on February 28, 2018. The provider is also known as Erica Wickstrom.

Where is Erica Wickoda located?

Erica Wickoda practices at 4305 41st Ave S, Minneapolis, MN 55406. The listed phone number is (612) 412-1453.

What is Erica Wickoda's specialty?

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

When was this NPI record last updated?

The NPPES record for Erica Wickoda was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.