Individual provider · Type 1 NPI

Stacy Latendresse

Clinical Social Worker · Minot, ND

NPI number 1801412929 Active

Practice location

1715 S Broadway
Minot, ND 58701-6304

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

Clinical Social Worker: 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 interpers…

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About NPI 1801412929

Stacy Latendresse's National Provider Identifier is 1801412929, issued on Jun 24, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minot, ND. The record was last updated on Aug 28, 2026.