Individual provider Active NPI

Thomas J Hewett, LICSW

  • Clinical Social Worker
  • Shakopee, MN
National Provider Identifier
1447588546
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12671 Issued in MN
Practice address
1802 Faribault CT
Shakopee, MN 55379-4411
Phone
(952) 233-3223
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12671 MN Primary

Addresses

Primary practice location

1802 Faribault CT
Shakopee, MN 55379-4411

Mailing address

1802 Faribault CT
Shakopee, MN 55379-4411
Phone (952) 233-3223

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
I20151001002609 MN Practitioner - Clinical Social Worker 6507174059 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Fairview Health Services CurrentSince Dec 8, 2019 Accepting new patients
Fairview Clinics CurrentSince Dec 8, 2019 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 8

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1447588546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 FARIBAULT CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794411",
            "telephone_number": "952-233-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 FARIBAULT CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794411",
            "telephone_number": "952-233-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.