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Contact Information

KARLA J JENNINGS, LICSW
3100 WEST LAKE STREET
SUITE 210
MINNEAPOLIS, MN55416
 Phone: 612-925-6033
 Fax: 612-925-8496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KARLA J JENNINGS · (Female)

NPI Number 1093936973
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/01/2007
Last updated 04/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 16406
  • MN Medicaid 948122200
  • MN Other 17M99JE BLUE CROSS BLUE SHIELD
  • MN Other HP39695 HEALTH PARTNERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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