Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Lane Gervais, LICSW

Individual provider Clinical Social Worker · NPI 1912969544

Mrs. Jennifer Lane Gervais, LICSW is a Clinical Social Worker in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7616 Currell Blvd Ste 275
Woodbury, MN 55125-2290
Phone: (612) 859-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15252 (MN)

Record details

NPI number1912969544
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESSeptember 18, 2008

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