Mary Margaret Verdeja, LSW, BA, FC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24971 Issued in MN

Practice address

1150 Centre Pointe Curv
Mendota Heights, MN 55120-1264

Phone

(651) 917-9111

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 19, 2025 through May 19, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Howry Residential Service

  • Foster Care Agency
  • Mendota Heights, MN
  • NPI 1801151758
  NPD (past)

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1194236653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CENTRE POINTE CURV",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CENTRE POINTE CURV",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201264",
            "telephone_number": "651-917-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEJA",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "LSW, BA, FC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damir S. Utrzan, PH.D., LMFT, DAAETS
• Kevin James Van Patten
• Alicia Vang
• Savannah Vang
• Rebecca Anne Venier, LICSW
• Anabelle Jasmine Vo
• John David Vogel, DDS
• Alison Voss
• Zachary Voss
• Albert R Wagner

• Social Worker in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.