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 |