Ebony Eromobor, LICSW
NPI 1962036145ActiveIndividual· Social Worker, Clinical· New Brighton, MN
Social Worker, Clinical (LICSW) in New Brighton, Minnesota, licensed in MN, with an NPI issued in February 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1962036145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Feb 26, 2020 |
| Last updated in NPPES | Aug 12, 2026 |
| Certified by provider | Aug 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 24866 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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