Provider Demographics
NPI:1073557971
Name:ZENZ-OLSON, JENNIFER HOPE (MSW LICSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:HOPE
Last Name:ZENZ-OLSON
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:H
Other - Last Name:ZENZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7850 RIVERDALE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303
Mailing Address - Country:US
Mailing Address - Phone:763-427-2590
Mailing Address - Fax:763-427-2579
Practice Address - Street 1:7850 RIVERDALE DR
Practice Address - Street 2:SUITE C
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:763-427-2590
Practice Address - Fax:763-427-2579
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN15372104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN652640300Medicaid
922241040453OtherPREFERRED ONE
HP40390OtherHEALTH PARTNERS
103943C851OtherUCARE
309K02EOtherBCBS
MN800001784Medicare PIN
103943C851OtherUCARE