Jennifer Landry, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2637 27TH Ave S Ste 244
Minneapolis, MN 55406-3197

Phone

(612) 888-0897

NPI assigned

May 9, 2023

Last updated

Oct 30, 2026By 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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Minnesota Medical School, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aviva Therapy & Healing

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1285320424
  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1740970342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075227",
            "telephone_number": "608-219-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 244",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063197",
            "telephone_number": "612-888-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071617",
            "country_code": "US",
            "telephone_number": "612-827-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel V Landers, MD
• Erin Lynn Landgrebe, MS, RD, LD
• Dorothy Jean Landis, LICSW
• Kayla Landis
• Larissa Landis
• John T Landry
• Bonnie Landschoot
• Lane Barrett Counseling LLC
• Elizabeth Lane-Getaz
• Indy W Lane, MD

• Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.