Individual provider Active NPI

Melinda Young

  • Clinical Social Worker
  • Hugo, MN
National Provider Identifier
1740656289
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18082 Issued in MN
Practice address
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Phone
(651) 426-1141
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18082 MN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

14701 Victor Hugo Blvd N
Hugo, MN 55038-4561

Mailing address

345 Smith Ave N
Saint Paul, MN 55102-2346

Other practice location 1

963 Robert St S
West St Paul, MN 55118-1446
Phone (651) 726-9500

Other names 1

  • Melinda Johnson Former name

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
I20180723000513 MN Practitioner - Clinical Social Worker 7810283678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18082MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canvas Health, Inc. Mental Health CurrentSince Mar 31, 2020 Accepting new patients
Family Innovations, Inc. Clinical PastSince Aug 6, 2019 Accepting new patients

Locations

7066 Stillwater Blvd N
Saint Paul, MN 55128

375 Orleans St E
Stillwater, MN 55082
Phone (651) 430-2720

Organizations & group practices 2

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1740656289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 VICTOR HUGO BLVD N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384561",
            "telephone_number": "651-426-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "963 Robert St S",
            "address_purpose": "LOCATION",
            "city": "West St Paul",
            "state": "MN",
            "postal_code": "551181446",
            "country_code": "US",
            "telephone_number": "651-726-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18082",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hugo, MN

Sources for this page

Verify at the official NPI Registry.