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NPI · 1487545109 · NPPES-sourced

Melissa Lee Licsw

ActiveClinical Social Worker
NPI Number
1487545109
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(612) 207-9887
License MN · 25113
Last Updated
Enumerated
Primary practice addressMN · 55318-3226
3129 Mulligan LnChaska, MN 55318-3226
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Also known as

  • Formerly known asLee, Melissa Serbus

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1487545109 is registered to Melissa Lee Licsw, a Clinical Social Worker practising at 3129 Mulligan Ln in Chaska, Minnesota. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Melissa Lee Licsw has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Melissa Lee Licsw accepts. To confirm in-network status with your specific health plan, contact Melissa Lee Licsw directly at (612) 207-9887.

Frequently asked

Yes. NPI 1487545109 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (612) 207-9887.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Melissa Lee Licsw is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated
Enumerated
StatusActive
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