DEBRA SUZANNE LEAVITT (NPI# 1972742393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972742393 |
| Entity Type | Individual |
| Full Name | DEBRA SUZANNE LEAVITT |
| Credential | LICSW |
| Practice Address |
8401 Wayzata Blvd Ste 370 Golden Valley MN 55426-1379 |
| Practice Telephone | 7635441006 |
| Practice Fax Number | 7635441008 |
| Mailing Telephone | 7635441006 |
| Mailing Fax Number | 7635441008 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17629 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICSW STATE BOARD | 17629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225247091 | Debra Anne Leavitt | Physical Therapy Assistant | 3505 Lake Lynda Dr, Suite 207, Orlando, FL 32817-8324 | 2007-05-21 |
| Street Address |
8401 WAYZATA BLVD STE 370 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487681474 | Michelle A Schmid-egleston | Psychologist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2006-06-27 |
| 1548657273 | Kristina Boylan | Marriage & Family Therapist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2015-04-21 |
| 1104198589 | Todd Robert Winkler | Psychologist | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2012-02-01 |
| 1083738447 | Elizabeth Gamble Taylor | Social Worker | 8401 Wayzata Blvd Ste 370, Golden Valley, MN 55426-1379 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134640477 | Koski Stark Ghodge LLC | Social Worker | 8014 Highway 55 # 515, Golden Valley, MN 55427-4712 | 2017-06-27 |
| 1215393483 | Branden David Phillips | Social Worker | 3241 Scott Ave N, Golden Valley, MN 55422-2745 | 2016-01-04 |
| 1477954709 | David Williams | Social Worker | 830 Boone Ave N, Golden Valley, MN 55427-4568 | 2014-09-05 |
| 1346678836 | Ernest Smith | Social Worker | 8401 Wayzata Blve, Suite 370, Golden Valley, MN 55426-1379 | 2013-10-22 |
| 1801135223 | Comfort Belbas | Social Worker | 6100 Golden Valley Rd, Golden Valley, MN 55422-4442 | 2013-02-05 |
| 1619132099 | Lori Ann Mitchell | Social Worker | 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | 2008-07-24 |
| 1730377698 | David Taylor Smith | Social Worker | 7215 Glenwood Ave, Golden Valley, MN 55427-4806 | 2007-10-04 |
| 1275731440 | Stephanie Ann Beckley | Social Worker | 701 Decatur Avenue North, Suite 109, Golden Valley, MN 55427 | 2007-07-10 |
| 1417089616 | Constance Joan Schweigert | Social Worker | 8421 Wayzata Blvd Ste 140, Golden Valley, MN 55426-1393 | 2007-03-12 |
| 1184772246 | Elizabeth Eileen Nager | Social Worker | 8100 Wayzata Blvd, Golden Valley, MN 55426-1338 | 2007-01-08 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.