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

Individual provider Clinical Social Worker · NPI 1124312962

Melissa Ann Adler, LICSW is a Clinical Social Worker in St Louis Park, Minnesota. Qualified in 2006, 20 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2011
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

3525 Monterey Dr
St Louis Park, MN 55416-5275
Phone: (952) 993-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2525 Chicago Ave, Minneapolis, MN 55404-4518 — (612) 813-6138

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15621 (MN)

Record details

NPI number1124312962
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 8, 2011
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park