# JENNIFER GROSSMAN-CHINBURG, LICSW, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jenn Grossman-Chinburg, LICSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093124166
- **Authorized official:** JENNIFER N GROSSMAN-CHINBURG MSW, LICSW (OWNER)
- **Authorized official phone:** (507) 766-0158

## Contact information

- **Practice address:** 1809 S BROADWAY STE A, MINOT, ND 58701-6567
- **Practice address phone:** (701) 833-2085
- **Practice address fax:** (701) 837-1360
- **Mailing address:** 2616 17TH ST NW, MINOT, ND 58703-5116
- **Mailing address phone:** (507) 766-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4398 | ND | Yes |

## Other

- **Enumeration date:** 08/04/2014
- **Last updated:** 08/04/2014