Active NPI
Michelle Symons, LICSW
- Clinical Social Worker
- Hermantown, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22828
- Practice address
- 4335 Hawk Circle Dr
Hermantown, MN 55811-3648 - Phone
- (218) 461-8108
- NPI assigned
- Dec 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 22828 | MN | Primary |
Addresses
Primary practice location
4335 Hawk Circle Dr
Hermantown, MN 55811-3648
Mailing address
23 W Central Entrance # 181
Duluth, MN 55811-3433
Phone (218) 461-8108
Other practice location 1
5365 W Arrowhead Rd
Hermantown, MN 55811-1341
Phone (218) 461-8108
Other practice location 2
324 W Superior St Ste 530
Duluth, MN 55802-1724
Phone (218) 461-8108
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelly Symons, LLC | Current | Accepting new patients |
Locations
5365 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 461-8108
4335 Hawk Circle Dr
Hermantown, MN 55811
Phone (218) 355-2100
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hermantown, MN
- NPI 1306337431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1912372087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W CENTRAL ENTRANCE # 181",
"city": "DULUTH",
"state": "MN",
"postal_code": "558113433",
"telephone_number": "218-461-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 HAWK CIRCLE DR",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558113648",
"telephone_number": "218-461-8108"
}
],
"practiceLocations": [
{
"address_1": "5365 W Arrowhead Rd",
"address_purpose": "LOCATION",
"city": "Hermantown",
"state": "MN",
"postal_code": "558111341",
"country_code": "US",
"telephone_number": "218-461-8108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "324 W Superior St Ste 530",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558021724",
"country_code": "US",
"telephone_number": "218-461-8108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYMONS",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "22828",
"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 Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.