Active NPI
Adam Clifford Huot
- Clinical Social Worker
- Hermantown, MN
National Provider Identifier
1699549691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29574
- Practice address
- 4560 Norway Pines PL
Hermantown, MN 55811-1253 - Phone
- (218) 729-6480
- NPI assigned
- Nov 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29574 | MN | Primary |
Addresses
Primary practice location
4560 Norway Pines PL
Hermantown, MN 55811-1253
Mailing address
4560 Norway Pines PL
Hermantown, MN 55811-1253
Phone (218) 729-6480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29574 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calibrate, LLC | Current | Accepting new patients |
Locations
4560 Norway Pines Pl
Hermantown, MN 55811
Phone (218) 348-1565
Organizations & group practices 1
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": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1699549691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 NORWAY PINES PL",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558111253",
"telephone_number": "218-729-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 NORWAY PINES PL",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558111253",
"telephone_number": "218-729-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUOT",
"first_name": "ADAM",
"middle_name": "CLIFFORD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "29574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermantown, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.