Gwen Jensen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124294 Issued in IA

Practice address

506 E Bremer Ave
Waverly, IA 50677-1748

Phone

(319) 559-1065

Fax

(319) 575-6065

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Iowa Counseling, LLC

  • Clinical Social Worker
  • Waverly, IA
  • NPI 1225514540
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1417790940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771748",
            "telephone_number": "319-559-1065",
            "fax_number": "319-575-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771748",
            "telephone_number": "319-559-1065",
            "fax_number": "319-575-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Charles City",
            "state": "IA",
            "postal_code": "506162817",
            "country_code": "US",
            "telephone_number": "319-559-1065",
            "fax_number": "319-575-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "GWEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "124294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Elizabeth Jacque, ARNP
• Brittany Jaeger
• Alicia Ann Jahnke, PHARMD
• Megan Jasnowski, DPT
• Margaret M Jebe, OTR/L
• Sierra Jensen
• Mark H Jeppesen, OD
• Megan Marie Joerger
• Andrea Lynne Johnson, PMHNP-BC
• Erin Kaitlyn Johnson, ATC, PTA

• Clinical Social Worker in Waverly, IA
• Providers in Waverly, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.