HEATHER HARTWIG (LICSW) – Clinical Social Worker, NPI 1841022993

HEATHER HARTWIG (LICSW) is a healthcare provider. based in Bloomington, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 31033 (MN). The NPI Number for HEATHER HARTWIG (LICSW) is 1841022993

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER HARTWIG (LICSW)
NPI
1841022993
Phone
(952) 388-4385
Address
3512 W 100TH ST
Enumeration Date
16 August 2024
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524316033
Graduation Year
2022 (4 years ago)
PAC ID
8820539216
Group Practice PAC ID
2365339322
Professional Enrollment ID
I20240925003577
Address ID
MN551244510AP14665AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for HEATHER HARTWIG (LICSW)

  • 3512 W 100TH ST

    BLOOMINGTON, MN 554312703

    Phone: (952) 388-4385

    Type: Mailing

  • 14665 GALAXIE AVE STE 210

    APPLE VALLEY, MN 551244510

    Phone: (952) 431-6033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240925003577IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365339322View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Certified Nurse Midwife (Cnm)MN

Reviews

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Frequently asked questions

Can I verify HEATHER HARTWIG (LICSW) with an NPI only?
You can start verification with NPI 1841022993 for HEATHER HARTWIG (LICSW), then check state licensing separately.
Is HEATHER HARTWIG (LICSW) listed as active for patients and plans?
The listing shows HEATHER HARTWIG (LICSW) as active in the NPI system.
What taxonomy line describes HEATHER HARTWIG (LICSW)?
For research purposes, treat HEATHER HARTWIG (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HEATHER HARTWIG (LICSW)?
HEATHER HARTWIG (LICSW)'s geographic hint is Bloomington, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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