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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY LATENDRESSE
NPI 1801412929
Social Worker - Clinical in Minot, ND

Active since June 24, 2020PECOS Enrolled
1715 S BROADWAY, MINOT, ND 58701(701) 355-6800 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 28, 2026, Jun 24, 2020 (2 updates tracked since 2020).

About Stacy Latendresse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LATENDRESSE (NPI 1801412929) is an individual clinical provider in Minot, North Dakota and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801412929
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY LATENDRESSE
Location Address1715 S BROADWAYMinot, ND 58701-6304
Mailing Address1715 S BroadwayMinot, ND 58701-6304 · (701) 355-6800
Phone(701) 355-6800
Sole ProprietorNo
Enumeration DateJune 24, 2020
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1801412929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1715 S BROADWAY, Minot, ND 58701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Latendresse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.75 – $168.12
Typical copayment $0.00 (range $13.93 – $42.03)
Most-billed visit code NA
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANY MICHELLE BAGI LMSW
Social Worker
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 355-6800
DR. SHAUN C AYERS PT, DPT
Physical Therapist
1715 S BROADWAY
MINOT, ND 58701
Ward County (305) 798-4340
AUDREY WILLIAMSON
Case Manager/Care Coordinator
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 355-6800
LEA ANNA HUGHES LCSW
Social Worker (Clinical)
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 355-6800
SHANNON STREMICK FNP-C
Nurse Practitioner (Family)
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 335-6800
LEA ANNA HUGHES LCSW
Social Worker (Clinical)
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 355-6800
HEATHER DIBRA MHS OTR/L
Occupational Therapist (Ergonomics)
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 500-3582
CASSIDY LEIER LCSW
Social Worker (Clinical)
1715 S BROADWAY
MINOT, ND 58701
Ward County (701) 355-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Latendresse's NPI number?

The NPI number for Stacy Latendresse is 1801412929. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Stacy Latendresse located?

Stacy Latendresse practices at 1715 S Broadway, Minot, ND 58701. The listed phone number is (701) 355-6800.

What is Stacy Latendresse's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Stacy Latendresse enrolled in Medicare?

Yes. Stacy Latendresse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Latendresse was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.