Stacy Latendresse

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1715 S Broadway
Minot, ND 58701-6304

Phone

(701) 355-6800

NPI assigned

Jun 24, 2020

Last updated

Aug 28, 2026By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lea Anna Hughes LCSW

  dba (w)evolve therapy services

  • Clinical Social Worker
  • Minot, ND
  • NPI 1386211282
  NPD
• Premier Physical Therapy of North Dakota PLLC

  • Orthopedic Physical Therapist
  • Minot, ND
  • NPI 1265826036
  NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1801412929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-355-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BROADWAY",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016304",
            "telephone_number": "701-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATENDRESSE",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Larson, PA-C
• Kathy A Larson, LRD
• Laura S. Larson, LPCC
• Tiffany K Larson, OTR/L
• Carmen Lee Latella, LAC
• Bobbie Lattergrass
• Chelsea Lavalley, OTR-L
• Arwen Lavallie
• Bonita Faye Lavallie
• Gillian Elice Lavik, MD

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.