Heather Deveny-Leggitt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21867 Issued in MN

Practice address

6230 10TH St N Ste 310a
Oakdale, MN 55128-6166

Phone

(952) 412-3673

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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 Feb 7, 2024 through Feb 7, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Cardinal Psychotherapy, LLC

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1558768895
  NPD (past)

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1790179679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N STE 310A",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286166",
            "telephone_number": "952-412-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N STE 310A",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286166",
            "telephone_number": "952-412-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENY-LEGGITT",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Demko, MSW, LICSW
• Michelle F Demulling, RN
• Barbara S Denson, LPN
• Tyler Jordan Depaulis, DC
• Marcia Devalk, RN, CNS, MS
• Gena M Dickens, LICSW
• Robert C. Dinga, O.D.
• Lucas Dinh
• Ayan Diriye
• Kelly Ann Donathan, DPT, ATC

• Clinical Social Worker in Oakdale, MN
• Providers in Oakdale, 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 21, 2018; 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.