Active NPI
Merrily Sadlovsky, MSW, LICSW, LCSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1356510796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24326
- Practice address
- 4450 Nicollet Ave
Minneapolis, MN 55419-5035 - Phone
- (612) 568-5158
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW21247 | CA | |
| Clinical Social Worker | 1041C0700X | 24326 | MN | Primary |
| Clinical Social Worker | 1041C0700X | 27404 | CA |
Addresses
Primary practice location
4450 Nicollet Ave
Minneapolis, MN 55419-5035
Mailing address
4450 Nicollet Ave
Minneapolis, MN 55419-5035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2026 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27404 | CA | MD | Clinical Social Worker |
| ASW21247 | CA | MD | Clinical Social Worker |
| 24326 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adoptee Connections LLC | Clinical | Current | Accepting new patients |
Locations
4450 Nicollet Ave
Minneapolis, MN 55419
Phone (612) 568-5158
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1669135141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1356510796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195035",
"telephone_number": "612-568-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLOVSKY",
"first_name": "MERRILY",
"credential": "MSW, LICSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW21247",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "24326",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27404",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.