Provider Demographics
NPI:1942182571
Name:KROG, ERIN DANELLE
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:DANELLE
Last Name:KROG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ERINKROG14@GMAIL.COM
Mailing Address - Street 2:21953 COUNTY HWY 24
Mailing Address - City:ERHARD
Mailing Address - State:MN
Mailing Address - Zip Code:56534
Mailing Address - Country:US
Mailing Address - Phone:701-640-8857
Mailing Address - Fax:
Practice Address - Street 1:ERINKROG14@GMAIL.COM
Practice Address - Street 2:225 W. LINCOLN AVE
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-531-1424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN852681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical