Individual provider Active NPI

Melinda Marie Haupt, MSW LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1295454965
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31519 Issued in MN
Practice address
209 S 2ND St Ste 306
Mankato, MN 56001-3639
Phone
(507) 387-1350
Fax
(507) 387-6650
NPI assigned
Aug 25, 2022
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 31519 MN Primary

Addresses

Primary practice location

209 S 2ND St Ste 306
Mankato, MN 56001-3639

Mailing address

209 S 2ND St Ste 306
Mankato, MN 56001-3639
Phone (507) 387-1350

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
I20241226001108 MN Practitioner - Clinical Social Worker 1355878778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mankato Psychology Clinic PLCGroup PAC ID 0941214381, 4 clinicians

Practice addresses (Care Compare)

209 S 2ND St
Suite 306
Mankato, MN 56001-3639
Phone (507) 387-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Psychology Clinic, PLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

209 S 2nd St
Ste 306
Mankato, MN 56001
Phone (507) 387-1143

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1295454965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 306",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "507-387-1350",
            "fax_number": "507-387-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 306",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "507-387-1350",
            "fax_number": "507-387-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "MELINDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.