Provider Demographics
NPI: | 1780629105 |
---|---|
Name: | ERBS, SIGLINDE (MSW LICSW) |
Entity Type: | Individual |
Prefix: | MS |
First Name: | SIGLINDE |
Middle Name: | |
Last Name: | ERBS |
Suffix: | |
Gender: | F |
Credentials: | MSW LICSW |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1321 13TH ST N |
Mailing Address - Street 2: | |
Mailing Address - City: | ST CLOUD |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 56303-2614 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 320-252-5010 |
Mailing Address - Fax: | 320-203-1855 |
Practice Address - Street 1: | 308 12TH AVE S |
Practice Address - Street 2: | |
Practice Address - City: | BUFFALO |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55313-2321 |
Practice Address - Country: | US |
Practice Address - Phone: | 763-682-4400 |
Practice Address - Fax: | 763-682-1353 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-06-19 |
Last Update Date: | 2010-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MN | 15128 | 104100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
115567 | Other | OPTUM | |
6252025 | Other | MEDICA | |
922241033394 | Other | PREFERRED ONE | |
172679C851 | Other | UCARE | |
357JOER | Other | BCBS | |
MN | 926442600 | Medicaid | |
HP38293 | Other | HEALTH PARTNERS | |
115567 | Other | OPTUM |