Individual provider · Type 1 NPI

Jennifer Lane Gervais, LICSW

Clinical Social Worker · Woodbury, MN

NPI number 1912969544 Active

Practice location

7616 Currell Blvd, Suite 275
Woodbury, MN 55125-2290

Call (612) 859-9405 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15252 (MN)

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 1912969544

Jennifer Lane Gervais, LICSW's National Provider Identifier is 1912969544, issued on Apr 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Sep 18, 2008.