JENNIFER JEAN GOERGER (LICSW) – Clinical Social Worker, NPI 1740416932

JENNIFER JEAN GOERGER (LICSW) is a healthcare provider. based in Milaca, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 15320 (MN). The NPI Number for JENNIFER JEAN GOERGER (LICSW) is 1740416932

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JEAN GOERGER (LICSW)
NPI
1740416932
Phone
(320) 983-2335
Address
150 10TH ST NW STE 2
Enumeration Date
2 June 2009
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3209832335
Graduation Year
2006 (20 years ago)
PAC ID
9931389889
Group Practice PAC ID
1850571795
Professional Enrollment ID
I20110209000590
Address ID
MN563531737MI150XXNWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for JENNIFER JEAN GOERGER (LICSW)

  • 150 10TH ST NW STE 2

    MILACA, MN 563531737

    Phone: (320) 983-2335

    Type: Location

  • 450, 5th Street Southwest, Milaca, Mille Lacs County, Minnesota, 56353, United States

    STE 100

    MILACA, MN 563531349

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110209000590IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56353)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850571795View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

How do I look up JENNIFER JEAN GOERGER (LICSW) by NPI?
Use NPI 1740416932 when you need to reference JENNIFER JEAN GOERGER (LICSW) in forms, claims, or directories.
Does this profile mean JENNIFER JEAN GOERGER (LICSW) is currently active?
Yes — JENNIFER JEAN GOERGER (LICSW) appears active in the national provider directory.
What kind of provider is JENNIFER JEAN GOERGER (LICSW)?
The page reflects Clinical Social Worker for JENNIFER JEAN GOERGER (LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER JEAN GOERGER (LICSW)?
The page summarizes Milaca, Minnesota for JENNIFER JEAN GOERGER (LICSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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