Individual provider Active NPI

Cheryl Ann Levadney, LCSW

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1720399454
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3643 Issued in ND
Practice address
600 22ND Ave NW Ste U2
Minot, ND 58703-0986
Phone
(701) 833-8070
Fax
(701) 839-9071
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3643 ND Primary

Addresses

Primary practice location

600 22ND Ave NW Ste U2
Minot, ND 58703-0986

Mailing address

600 22ND Ave NW Ste U2
Minot, ND 58703-0986
Phone (701) 833-8070

Other identifiers 1

IdentifierTypeStateIssuer
054517MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3643NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Souls Untethered, Cheryl Levadney, LCSW, PLLC Clinical Current Accepting new patients

Locations

600 22nd Ave NW
Ste U2
Minot, ND 58703
Phone (701) 340-8982

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1720399454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE U2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-833-8070",
            "fax_number": "701-839-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE U2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-833-8070",
            "fax_number": "701-839-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVADNEY",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054517",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1.",
            "affiliation": "N",
            "endpointDescription": "ICANotes",
            "address_1": "600 22nd Ave NW Ste U2",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587030986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.