SCOTT CHARLES ELKERTON LICSW NPI 1669434445

NPI Information

NPI: 1669434445
Provider Name: SCOTT CHARLES ELKERTON, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1930 COON RAPIDS BLVD NW
FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-7964
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Scott Charles Elkerton, LICSW is a social worker in Coon Rapids, MN. The provider is 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. Scott Charles Elkerton, LICSW NPI is 1669434445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1930 COON RAPIDS BLVD NW
FAMILY LIFE MENTAL HEALTH CENTER
COON RAPIDS, MN
ZIP 55433-708
Phone: (763) 427-7964
Fax: (763) 427-7976

The enumeration date for this NPI number is 4/5/2006 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		897	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	949318200	MEDICAID	MINNESOTA
2	HP21707	OTHER		HEALTH PARTNERS
3	1013103	OTHER	MINNESOTA	PREFERRED ONE
4	115670	OTHER		UCARE
5	800001594	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
6	473R5EL	OTHER	MINNESOTA	BCBS
7	6252842	OTHER		UBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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