Jennifer Grossman-Chinburg, Licsw, PLLC
Organization Active NPI Clinical Social Worker · Minot, ND
NPI 1093124166 · NPPES record last updated Aug 4, 2014
Key facts
- NPI
- 1093124166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4398 (ND)
- Legal business name
- JENNIFER GROSSMAN-CHINBURG, LICSW, PLLC
- Practice address
- 1809 S Broadway Ste a
Minot, ND 58701-6567 - Phone
- (701) 833-2085
- Fax
- (701) 837-1360
- NPI assigned
- Aug 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Jennifer N Grossman-Chinburg, MSW, LICSW
- Title
- Owner
- Phone
- (507) 766-0158
National Provider Directory
Locations
1809 S Broadway
Ste A
Minot, ND 58701
Phone (701) 833-2085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 4398 | ND | Yes |
Addresses
Primary practice location
1809 S Broadway Ste a
Minot, ND 58701-6567
Mailing address
2616 17TH St NW
Minot, ND 58703-5116
Phone (507) 766-0158
Other names
- Jenn Grossman-Chinburg, LICSW
Other providers in Minot, ND
- Melissa Jansen
- Wayne L Jansen
- Alona J Jarmin
- Rachel A Jean-Pierre
- Manhattan Jehlicka
- Jennifer Hills LCSW PLLC
- Marisa Leigh Jennings
- Marion Jenoir
- Bethany Jean Jensen
- Lisa D Jensen
All providers in Minot, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.