DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JENNA RICHARDSON LMSW

MEDICARE: JENNA RICHARDSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker5688ND

General Provider Information

NPI Number : 1194479493
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA RICHARDSON LMSW
Provider Business Mailing Address
First Line : 327 6TH ST
Second Line :
City : THOMPSON
State : ND
Zip : 58278-4113
Country : US
Telephone Number : 763-496-8115
Fax Number :
Provider Business Practice Location Address
First Line : 2101 ELM ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2417
Country : US
Telephone Number : 763-496-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 01/05/2026

Similar Medicare Providers

1457118457 — EMPOWERED PEDIATRIC THERAPY PLLC
Practice Location Address:
2417 UNIVERSITY DR N UNIT B
FARGO, ND
58102-1820
Practice Phone: 218-779-3633
Practice Fax:
1356147144 — BRENNA ANNE NESS
Practice Location Address:
2101 ELM ST N
FARGO, ND
58102-2417
Practice Phone: 701-239-3700
Practice Fax:
1154270205 — ASHLEY TANDESKI RN
Practice Location Address:
2101 ELM ST N
FARGO, ND
58102-2417
Practice Phone: 701-232-3241
Practice Fax:
1922492644 — CAROLYN WEBER OTR/L
Practice Location Address:
2101 ELM ST N
FARGO, ND
58102-2417
Practice Phone: 701-239-3700
Practice Fax:
1790054591 — JESSICA HENTGES LICSW
Practice Location Address:
2101 ELM ST N
FARGO, ND
58102-2417
Practice Phone: 701-239-3700
Practice Fax:
1487465589 — DENICE LYNN GOELZ
Practice Location Address:
2101 ELM ST N
FARGO, ND
58102-2417
Practice Phone: 701-239-3726
Practice Fax:

Directions to “ JENNA RICHARDSON LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.