Individual provider · Type 1 NPI

Gwen Lotta, LCSW

Clinical Social Worker · Grand Forks, ND

NPI number 1053947796 Active

Practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Call (701) 205-3000 Map

Fax (701) 732-2501

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X096785 (NY)
Clinical Social Worker Primary 1041C0700X6309 (ND)

Clinical Social Worker: 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 interpers…

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About NPI 1053947796

Gwen Lotta, LCSW's National Provider Identifier is 1053947796, issued on Mar 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Forks, ND. The record was last updated on Jul 15, 2026.