Individual provider Active NPI

Heather Lea Wright, MSW LGSW

  • Clinical Social Worker
  • Cloquet, MN
National Provider Identifier
1215405063
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25617 Issued in MN
Practice address
30 N 8TH St
Cloquet, MN 55720-1601
Phone
(218) 626-5175
NPI assigned
Nov 9, 2018
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 25617 MN
Social Worker 104100000X
Clinical Social Worker 1041C0700X 25617 MN Primary

Addresses

Primary practice location

30 N 8TH St
Cloquet, MN 55720-1601

Mailing address

PO Box 189
Cloquet, MN 55720-0189
Phone (218) 626-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116003465 MN Practitioner - Clinical Social Worker 7012378094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Care LLC Current Accepting new patients
Northstar Community Services LLC Social Worker CurrentSince Mar 19, 2019 Accepting new patients
Graceful Strides Wellness Center LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

1804 Cloquet Ave
Cloquet, MN 55720
Phone (218) 600-5303

30 N 8th St
Cloquet, MN 55720
Phone (218) 590-8528

130 W Superior St
Ste 610
Duluth, MN 55802
Phone (218) 879-2119

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1215405063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557200189",
            "telephone_number": "218-626-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 8TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201601",
            "telephone_number": "218-626-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "credential": "MSW LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "25617",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.