Active NPI
Melissa Anne Raatz, MSW, LICSW, CHT
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1942778022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3462
- 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
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 |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710295001 | Medicaid | MN |
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
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
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Know Thyself, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Minnetonka, MN
- NPI 1316643554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.