Individual provider Active NPI

Melissa Anne Raatz, MSW, LICSW, CHT

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1942778022
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3462 Issued in MN
Practice address
10505 Wayzata Blvd Ste 203-3
Minnetonka, MN 55305-1502
Phone
(763) 242-3261
Fax
(866) 318-3073
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 3462 MN Primary

Addresses

Primary practice location

10505 Wayzata Blvd Ste 203-3
Minnetonka, MN 55305-1502

Mailing address

417 Rucks Farm Rd
Delano, MN 55328-8837
Phone (763) 242-3261

Other identifiers 1

IdentifierTypeStateIssuer
1710295001MedicaidMN

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
I20210223003240 MN Practitioner - Clinical Social Worker 4284050105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Know Thyself, PLLCGroup PAC ID 9436514817, 2 clinicians

Practice addresses (Care Compare)

10505 Wayzata Blvd
Suite 203 3
Minnetonka, MN 55305-1502
Phone (612) 269-6578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Know Thyself, PLLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

10505 Wayzata Blvd
Ste 2033
Minnetonka, MN 55305
Phone (612) 269-6578

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": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1942778022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 RUCKS FARM RD",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288837",
            "telephone_number": "763-242-3261",
            "fax_number": "866-318-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD STE 203-3",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "763-242-3261",
            "fax_number": "866-318-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAATZ",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "3462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710295001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.