Tena Roethle
NPI 1104686849ActiveOrganization· Social Worker, Clinical· Northfield, MN
Social Worker, Clinical in Northfield, Minnesota, registered in NPPES in March 2024. The authorized official on file is Tena Roethle, LICSW, Owner/Licsw. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104686849 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2024 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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