Individual provider Active NPI

Heather Hartwig, LICSW

  • Clinical Social Worker
  • Apple Valley, MN
National Provider Identifier
1841022993
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31033 Issued in MN
Practice address
14665 Galaxie Ave Ste 210
Apple Valley, MN 55124-4510
Phone
(952) 431-6033
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 31033 MN Primary

Addresses

Primary practice location

14665 Galaxie Ave Ste 210
Apple Valley, MN 55124-4510

Mailing address

3512 W 100TH St
Bloomington, MN 55431-2703
Phone (952) 388-4385

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
I20240925003577 MN Practitioner - Clinical Social Worker 8820539216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Ridge Center PLLCGroup PAC ID 2365339322, 12 clinicians

Practice addresses (Care Compare)

14665 Galaxie Ave
Suite 210
Apple Valley, MN 55124-4510
Phone (952) 431-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Ridge Center PLLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

14665 Galaxie Ave
Ste 210
Saint Paul, MN 55124
Phone (952) 212-2103

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1841022993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 W 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312703",
            "telephone_number": "952-388-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 210",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244510",
            "telephone_number": "952-431-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "HEATHER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.