Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GWEN LOTTA LCSW
NPI 1053947796
Social Worker - Clinical in Grand Forks, ND

Active since March 13, 2020PECOS Enrolled
3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jan 22, 2026, Jul 25, 2022 and 1 more (4 updates tracked since 2020).

About Gwen Lotta Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN LOTTA LCSW (NPI 1053947796) is an individual clinical provider in Grand Forks, North Dakota, licensed in North Dakota (6309) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053947796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGWEN LOTTACredential: LCSW
Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766
Mailing AddressPo Box 5210Grand Forks, ND 58206-5210 · (701) 205-3000 · Fax (701) 732-2501
Fax(701) 732-2501
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 13, 2020
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1053947796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ND · 6309
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 096785 (NY)
3674 S WASHINGTON ST, Grand Forks, ND 58201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gwen Lotta Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244689511
PECOS Enrollment IDI20231212001789, I20231213002377, I20240516000346, I20250107000286, I20250123000895
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.75 – $168.12
Typical copayment $0.00 (range $13.93 – $42.03)
Most-billed visit code NA
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Nurse Practitioner (Psychiatric/Mental Health)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Social Worker (Clinical)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Counselor (Professional)
3674 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
3674 S WASHINGTON ST
GRAND FORKS, ND 58201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Lotta's NPI number?

The NPI number for Gwen Lotta is 1053947796. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Gwen Lotta located?

Gwen Lotta practices at 3674 S Washington St, Grand Forks, ND 58201. The listed phone number is (701) 205-3000.

What is Gwen Lotta's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gwen Lotta enrolled in Medicare?

Yes. Gwen Lotta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gwen Lotta accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, HealthPartners and Medica and 1 other insurer list Gwen Lotta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwen Lotta was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.