I Am Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

I AM INCORPORATED

Practice address

19781 Mission Road SE
Cass Lake, MN 56633

Phone

(218) 214-9389

Fax

(218) 517-2034

NPI assigned

Aug 3, 2021

Last updated

Jul 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deonne M. Widner, LICSWNPI 1689817751

Title

Cfo

Phone

(218) 214-9389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deonne Margaret Widner, MSW, LICSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1689817751
  Medicare reassignment Care Compare group Authorized official
• Jeffrey Scott Widner, LICSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1114668829
  Medicare reassignment Care Compare group NPD
• Nicolle R Nichols

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1407690209
  NPD
• Candace Snodgrass, PHD

  • Psychologist
  • Bemidji, MN
  • NPI 1396583829
  NPD
• Charles-Camarin Widner, MSW, LGSW

  • Clinical Social Worker
  • Bemidji, MN
  • NPI 1881438067
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1215601422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 4TH ST NW STE 115",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013155",
            "telephone_number": "218-214-9389",
            "fax_number": "218-517-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19781 MISSION ROAD SE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "56633",
            "telephone_number": "218-214-9389",
            "fax_number": "218-517-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 4th St NW Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566013155",
            "country_code": "US",
            "telephone_number": "218-214-9389",
            "fax_number": "218-517-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I AM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "WIDNER",
        "authorized_official_first_name": "DEONNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-214-9389",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Higgins
• Robin Holmstrom, LPN
• Home Free Care, LLC
• Brian Hudson, OD
• Uyen Nhu Huynh, PHARM.D.
• Colton Iverson, PHARMD
• Robert Jaspers, ADC-1
• Kari Lynn Johnson, FNP-C (APRN)
• Lois Johnson, LPN
• Nickalette Johnson, LPN

• Clinical Social Worker in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.