Individual
ELIZABETH A JENSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
129924
IA
1041C0700X
Clinical Social Worker
149015714
IL
1041C0700X
Clinical Social Worker
2024013540
MO
1041C0700X
Clinical Social Worker
6801118078
MI
1041C0700X
Clinical Social Worker
Primary
8522123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295014199
BCBS MN
—
05
—
1295014199
—
MN
Enumeration date
08/09/2011
Last updated
01/16/2026
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