Active NPI
Melissa Seidel, LGSW
- Social Worker
- Maplewood, MN
National Provider Identifier
1679004964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22358
- Practice address
- 2001 Beam Ave
Maplewood, MN 55109-1401 - Phone
- (763) 762-6806
- Fax
- (763) 315-4669
- NPI assigned
- Mar 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22358 | MN | Primary |
Addresses
Primary practice location
2001 Beam Ave
Maplewood, MN 55109-1401
Mailing address
2001 Beam Ave
Maplewood, MN 55109-1401
Phone (763) 762-6806
Other names 1
- Melissa Young
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orka Health and Wellness, PLLC | Current | Accepting new patients | |
| Prairiecare LLC | Past | Accepting new patients | |
| St. Croix Psychiatric, LLC | Past | Accepting new patients | |
| Nystrom & Associates, LTD | Past | Accepting new patients |
Organizations & group practices 4
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
- Edina, MN
- NPI 1144896465
-
dba Sagent Behavioral Health
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
dba PrairieCare Medical Group
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1679004964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BEAM AVE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091401",
"telephone_number": "763-762-6806",
"fax_number": "763-315-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BEAM AVE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091401",
"telephone_number": "763-762-6806",
"fax_number": "763-315-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "MELISSA",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "22358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "YOUNG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.