Individual
JENNIFER LUELLA SOMMER SHEPPARD
Active
Individual
JENNIFER LUELLA SOMMER SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16591
MN
1041C0700X
Clinical Social Worker
Primary
CSW.09923407
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056445000
MN HEALTH CARE PROGRAMS
MN
01
—
HP70372
HEALTHPARTNERS
MN
Enumeration date
10/20/2006
Last updated
11/10/2016
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