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Active NPI 1396892089 Individual Practitioner Male Practitioner

Gary Lee Donovan , PSYCHOLOGIST

Social Worker - Clinical • Benson, MN

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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Gary Donovan, PSYCHOLOGIST is a registered healthcare professional specializing in Social Worker - Clinical in Benson, MN. Official NPI practice address is registered at 640 ATLANTIC AVE.

Practice Location & Contact Primary Location

Practice Address

640 Atlantic Ave
Counseling Associates Of Wc Minnesota

Benson, MN 562151381

Telephone 3208433454
Fax 3208434692
Associated Practice Facility / Clinic
🏢 Swift County Benson Hospital Facility NPI 1295872489

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Benson, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Benson, MN (6749 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MN LICSW 6209

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License MN LP2839

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License MN 782

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
25Y93DO (MN)
Commercial Insurance / Payer ID Preferred 1
943101014248 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Patrick Gunter , LP

Psychologist - Clinical

NPI 1114351756

Licensed Psychologist

Jennifer Westrum , MS

Counselor - Professional

NPI 1124111745

Master of Science

NPI 1306984497

Licensed Independent Clinical Social Worker

Dr. Jacqueline Julien , PsyD, LP

Psychologist - Clinical

NPI 1437488962

Doctor of Psychology (Psy.D.), Licensed Psychologist

Dr. Kathleen Istre , PHD LP

Psychologist - Clinical

NPI 1467513580

PHDLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 640 ATLANTIC AVE, COUNSELING ASSOCIATES OF WC MINNESOTA, BENSON, MN 562151381 (Tel: 3208433454)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1009 W 4TH ST, MORRIS, MN 562672031 (Tel: 3205894648)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY DONOVAN, PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP2839 in MN)

🟢
Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396892089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

1009 W 4th St

Morris, MN 562672031

Phone: 3205894648

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.