Active NPI
Jennifer Mary Gish, LICSW
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1922054949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1866
- Practice address
- 10560 Wayzata Blvd
Minnetonka, MN 55305-1524 - Phone
- (952) 595-0562
- Fax
- (952) 595-0564
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1866 | MN | Primary |
Addresses
Primary practice location
10560 Wayzata Blvd
Minnetonka, MN 55305-1524
Mailing address
10560 Wayzata Blvd
Minnetonka, MN 55305-1524
Phone (952) 595-0562
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127674 | Other | MN | BEHAVIORAL HEALTH CARE PR |
| HP30670 | Other | MN | HEALTH PARTNERSW |
| 167437 | Other | MN | COMPSYCH |
| 6262800 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 25G83GI | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Terrace Group LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Minnetonka, MN
- NPI 1114974201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922054949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051524",
"telephone_number": "952-595-0562",
"fax_number": "952-595-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051524",
"telephone_number": "952-595-0562",
"fax_number": "952-595-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GISH",
"first_name": "JENNIFER",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "1866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH CARE PR",
"identifier": "127674",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERSW",
"identifier": "HP30670",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "167437",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6262800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "25G83GI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.