Jessica Gronli, MSW, LICSW
NPI 1104305994ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical (MSW, LICSW) with St Cloud Hospital, practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104305994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2018 |
| Last updated in NPPES | Apr 25, 2025 |
| Certified by provider | Apr 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 24920 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- St Cloud HospitalSaint Cloud, MN · 207 clinicians
Other Social Worker, Clinical providers in Saint Cloud
- 1639725419
- 1669207478
- 1932948502
- 1083353908
- 1043880362
- 1386467827
- 1912220708
- 1700470739
- 1053569798
- 1700086782
- 1669494605
- 1871294637