Individual provider Active NPI

Linda Christine Gensheimer, MSW, LICSW, PHD

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1811294556
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10745 Issued in MN
Practice address
2908 Humboldt Ave S
Minneapolis, MN 55408-1953
Phone
(612) 875-1121
Fax
(612) 822-2766
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10745 MN Primary

Addresses

Primary practice location

2908 Humboldt Ave S
Minneapolis, MN 55408-1953

Mailing address

3144 Colfax Ave S
Minneapolis, MN 55408-2838
Phone (612) 875-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 10, 2023 through Nov 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10745MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1811294556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082838",
            "telephone_number": "612-875-1121",
            "fax_number": "612-822-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 HUMBOLDT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081953",
            "telephone_number": "612-875-1121",
            "fax_number": "612-822-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSHEIMER",
        "first_name": "LINDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MSW, LICSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.