MEDICARE: ERIN BLASE LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	19869	MN

General Provider Information

NPI Number	:	1770233272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN BLASE LICSW

Provider Business Mailing Address
First Line	:	2821 NEVADA AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55426-3229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5413 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55419-1927
Country	:	US
Telephone Number	:	612-760-0863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2022
Last Update Date	:	03/27/2022

Similar Medicare Providers

1396998795 — KINETIC CHIROPRACTIC & HEALING ARTS
Practice Location Address:

5415 NICOLLET AVE
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-824-3141
Practice Fax: 888-349-7109

1336462977 — MS. JACQUELINE MARIE WRIGHT LICSW
Practice Location Address:

5413 NICOLLET AVE # 164
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-308-2508
Practice Fax: 612-486-9497

1487047346 — MINNESOTA EVIDENCE-BASED THERAPY & ASSESSMENT CLINIC, LLC
Practice Location Address:

5413 NICOLLET AVE S , #164
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-308-2508
Practice Fax: 612-486-9497

1437535853 — ELEVATION CHIROPRACTIC & WELLNESS
Practice Location Address:

5415 NICOLLET AVE
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-500-9182
Practice Fax:

1841776960 — PORTLIGHT MENTAL HEALTH
Practice Location Address:

5413 NICOLLET AVE # 152
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-524-8243
Practice Fax:

1134094691 — ASIA JACKSON
Practice Location Address:

5415 NICOLLET AVE
MINNEAPOLIS, MN
55419-1927

Practice Phone: 612-556-9544
Practice Fax:

Directions to “ ERIN BLASE LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.