Jennifer Jedlicka, MSW, LICSW
NPI 1114633625ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical (MSW, LICSW) with St Cloud Hospital, practicing in Saint Cloud, Minnesota. Medicare paid $4,001 for services to 30 patients in 2024.
Overview
| NPI | 1114633625 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | Jan 27, 2023 |
| 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 | 28916 | 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 83 across 5 procedure codes |
| Paid by Medicare | $4,001 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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