Individual provider Active NPI

Michael Sala, LICSW

  • Clinical Social Worker
  • Chaska, MN
National Provider Identifier
1184593782
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15467 Issued in MN
Practice address
1107 Hazeltine Blvd
Ste 496, MD45
Chaska, MN 55318-1000
Phone
(952) 295-8831
Fax
(952) 295-8832
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15467 MN Primary

Addresses

Primary practice location

1107 Hazeltine Blvd
Ste 496, MD45
Chaska, MN 55318-1000

Mailing address

1107 Hazeltine Blvd
Ste 496, MD45
Chaska, MN 55318-1000
Phone (952) 295-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124002947 MN Practitioner - Clinical Social Worker 3577055839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inmind HealthGroup PAC ID 3375989288, 8 clinicians

Practice addresses (Care Compare)

1107 Hazeltine Blvd
Suite 496
Chaska, MN 55318-1000
Phone (952) 295-8831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15467MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inmind Health, LLC Multi-Specialty CurrentSince Oct 24, 2025 Accepting new patients

Locations

1107 Hazeltine Blvd
Ste 496
Chaska, MN 55318
Phone (952) 240-3334

1121 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (952) 295-8831

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1184593782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "STE 496, MD45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181000",
            "telephone_number": "952-295-8831",
            "fax_number": "952-295-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "STE 496, MD45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181000",
            "telephone_number": "952-295-8831",
            "fax_number": "952-295-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALA",
        "first_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.