Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebony Eromobor, LICSW

Individual provider Clinical Social Worker · NPI 1962036145

Ebony Eromobor, LICSW is a Clinical Social Worker in New Brighton, Minnesota. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

151 Silver Lake Rd NW Unit 209
New Brighton, MN 55112-8108
Phone: (612) 429-8233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24866 (MN)

Record details

NPI number1962036145
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address151 Silver Lake Rd Nw Unit 209, New Brighton, MN 55112-8108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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