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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER L MINNIS, LCSW

Active

JENNIFER L MINNIS, LCSW is a Clinical Social Worker healthcare provider located in MELBA, Idaho. NPI 1134896418 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MELBA, ID

Registration Details

NPI Number
1134896418
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.8075658270103 yrs)
Last Updated
Aug 25, 2021
License
LCSW-37562 (ID)

Practice Information

Address
150 2ND ST
MELBA, ID, 836415199
Browse ID providers · Browse ZIP 83641
Phone
2084591011
Fax
2084665359
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.