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I AM INCORPORATED
NPI 1215601422
Social Worker - Clinical in Cass Lake, MN

Active since August 03, 2021
19781 MISSION ROAD SE, CASS LAKE, MN 56633(218) 214-9389(218) 517-2034 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2023, Jan 26, 2023, Apr 22, 2022 and 1 more (4 updates tracked since 2021).

About I Am Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

I AM INCORPORATED (NPI 1215601422) is a healthcare organization registered as a clinical in Cass Lake, Minnesota and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Bemidji and lists Deonne M. Widner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215601422
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameI AM INCORPORATED
Location Address19781 MISSION ROAD SECass Lake, MN 56633
Mailing Address403 4th St Nw Ste 115Bemidji, MN 56601-3155 · (218) 214-9389 · Fax (218) 517-2034
Phone(218) 214-9389
Fax(218) 517-2034
Organization SubpartNo
Authorized OfficialDeonne M. WidnerCfo · (218) 214-9389
Enumeration DateAugust 3, 2021
Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1215601422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
19781 MISSION ROAD SE, Cass Lake, MN 56633
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Secondary Practice Location 1

Location 1403 4th St NW Ste 115Bemidji, MN 56601-3155 · Phone (218) 214-9389 · Fax (218) 517-2034

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

I Am Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to I Am Incorporated, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Widner, LICSW
Clinical Social Worker
NPI 1114668829
403 4TH ST NW STE 115
Bemidji, MN 56601
(218) 214-9389
✔ PECOS14 mi
Deonne Williams, MSW, LICSW
Clinical Social Worker
NPI 1689817751
403 4TH ST NW STE 115
Bemidji, MN 56601
(218) 214-9389
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is I Am Incorporated's NPI number?

The NPI number for I Am Incorporated is 1215601422. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is I Am Incorporated located?

I Am Incorporated is located at 19781 Mission Road SE, Cass Lake, MN 56633. The listed phone number is (218) 214-9389.

What is I Am Incorporated's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is I Am Incorporated enrolled in Medicare?

Yes. I Am Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through I Am Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to I Am Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does I Am Incorporated accept?

Health plans from HealthPartners and Sanford Health Plan list I Am Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for I Am Incorporated was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.