AMY BETH HERTLE L.I.C.S.W. L.P. NPI 1376605808

NPI Information

  • NPI: 1376605808
  • Provider Name: AMY BETH HERTLE, L.I.C.S.W., L.P.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3570 LEXINGTON AVE N
    SUITE 100
    SHOREVIEW, MN
    ZIP 55126
  • Phone: (651) 481-0664

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NPI Details

Amy Beth Hertle, L.I.C.S.W., L.P. is a clinical social worker in Shoreview, MN. The provider is 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. Amy Beth Hertle, L.I.C.S.W., L.P. NPI is 1376605808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3570 LEXINGTON AVE N
SUITE 100
SHOREVIEW, MN
ZIP 55126-049
Phone: (651) 481-0664
Fax: (651) 481-3907

The NPI 1376605808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 9/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical14904MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1968115900MEDICAIDMINNESOTA
2HP57337OTHERMINNESOTAHEALTH PARTNERS LEGACY ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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