Healthcare Provider Details

I. General information

NPI: 1518839182
Provider Name (Legal Business Name): JESSICA GAPINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 6TH AVE N
SAINT CLOUD MN
56303-1900
US

IV. Provider business mailing address

4980 2ND ST SE
SAINT CLOUD MN
56304-9430
US

V. Phone/Fax

Practice location:
  • Phone: 320-229-4950
  • Fax:
Mailing address:
  • Phone: 320-905-3771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31717
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: