Gwen N. Feddema
NPI 1659092757ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical with St Cloud Hospital, practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - clinical social worker. Lists Centracare - St. Cloud Hospital as a hospital affiliation.
Overview
| NPI | 1659092757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 7, 2022 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 14698 | MN |
| Social Worker, Clinical | 1041C0700X | 14698 | — |
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 | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- St Cloud HospitalSaint Cloud, MN · 207 clinicians
Hospital affiliation
- Centracare - St. Cloud HospitalSaint Cloud, MN
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