Jill Melaas, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22524 Issued in MN

Practice address

9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019

Phone

(763) 252-4504

Fax

(888) 965-5130

NPI assigned

Jul 21, 2017

Last updated

Dec 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1902329956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393079",
            "telephone_number": "763-252-4504",
            "fax_number": "888-965-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 255",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283019",
            "telephone_number": "763-252-4504",
            "fax_number": "888-965-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAAS",
        "first_name": "JILL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in New Hope, MN
• Providers in New Hope, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.