Angela Mary Hartwig, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22968 Issued in MN

Practice address

14 N 11TH St
Cloquet, MN 55720-1651

Phone

(218) 879-4583

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Mary Shermer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1235866567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 DUNCAN RD",
            "city": "SAGINAW",
            "state": "MN",
            "postal_code": "557799799",
            "telephone_number": "218-410-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N 11TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201651",
            "telephone_number": "218-879-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "ANGELA",
        "middle_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SHERMER",
            "middle_name": "MARY",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Susan Hall, RD, LD
• Farrah Halvorson
• Alan Daniel Haney, MSW, LICSW
• Bobbijo Ellen Hanson, RN
• Jessica Lynn Hanson
• William O Haug Jr., M.D.
• Haven Chemical Health Systems, LLC
• Havens of Minnesota LLC
• Lisa Beth Hay, APRN, CNP
• Barbara Ann Heikkila

• Clinical Social Worker in Cloquet, MN
• Providers in Cloquet, 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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.