Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elissa Ann Macedo, LICSW

Individual provider Clinical Social Worker · NPI 1033695390

Elissa Ann Macedo, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2016, 10 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2925 Chicago Ave
Minneapolis, MN 55407
Phone: (866) 603-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 Osborne Rd Ne, Minneapolis, MN 55432-2718 — (763) 236-4097

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19442 (MN)

Record details

NPI number1033695390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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