Individual provider Active NPI

Melissa Lynn Yates, MSW, LICSW

  • Clinical Social Worker
  • Chanhassen, MN
National Provider Identifier
1467278853
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22080 Issued in MN
Practice address
600 Market St Ste 220
Chanhassen, MN 55317-4588
Phone
(952) 479-0824
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 22080 MN Primary

Addresses

Primary practice location

600 Market St Ste 220
Chanhassen, MN 55317-4588

Mailing address

600 Market St Ste 220
Chanhassen, MN 55317-4588

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
I20241213000733 MN Practitioner - Clinical Social Worker 3870029812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

600 Market St
Suite 220
Chanhassen, MN 55317-4588
Phone (651) 313-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Apr 13, 2026 Accepting new patients

Locations

600 Market St
Ste 220
Chanhassen, MN 55317
Phone (651) 213-9280

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

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.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1467278853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 220",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 220",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174588",
            "telephone_number": "952-479-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.