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

MRS. JENNIFER LANE GERVAIS, LICSW

Active

MRS. JENNIFER LANE GERVAIS, LICSW is a Clinical Social Worker healthcare provider located in WOODBURY, Minnesota. NPI 1912969544 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WOODBURY, MN

Registration Details

NPI Number
1912969544
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2006 (20.316730645277 yrs)
Last Updated
Sep 18, 2008
License
15252 (MN)

Practice Information

Address
7616 CURRELL BLVD
SUITE 275
WOODBURY, MN, 551252290
Browse MN providers · Browse ZIP 55125
Phone
6128599405
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WOODBURY, MN

Name Credential NPI
PETER B BRANDENHOFF MSW LICSW 1316910268
JEANETTE L ZACZKOWSKI MSW LICSW 1942275235
MICHELLE A POORE LIC SW 1598727109
SUSAN J MCCAMMON LICSW, MA 1699728816
CATHY L CHAVEZ LICSW 1881709731
MR. DARRELL JEROME ROHLING II MA, LP, LICSW 1871600643
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.