Provider Demographics
NPI:1043086465
Name:GAPINSKI, CARRIE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:GAPINSKI
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13708 75TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-9470
Mailing Address - Country:US
Mailing Address - Phone:320-333-3240
Mailing Address - Fax:
Practice Address - Street 1:1411 W SAINT GERMAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4180
Practice Address - Country:US
Practice Address - Phone:320-247-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN136531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical