Regina May Stender, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10598 Issued in MN

Practice address

Leech Lake Behavioral Health
16123 Grant Utley Ave. NW
Cass Lake, MN 56633

Phone

(218) 335-3023

Fax

(218) 335-4410

NPI assigned

Sep 19, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1679300875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 25TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012441",
            "telephone_number": "651-285-2625",
            "fax_number": "218-335-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEECH LAKE BEHAVIORAL HEALTH",
            "address_2": "16123 GRANT UTLEY AVE. NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "56633",
            "telephone_number": "218-335-3023",
            "fax_number": "218-335-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENDER",
        "first_name": "REGINA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer E Shotley, LADC, CADC III
• Millicent A Simenson, LPN
• Catherine Spicer, LPN
• Celeste Stalberger
• Lisa M Stay, NP-C
• Scott David Stenstrom, RN
• Laura Stewart, DDS
• Karen Lee Stokes, LADC, LPCC
• Cassidy Ann Stumo, PHARMD
• Julie Lou Swedberg

• Clinical Social Worker in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.