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

Melissa Ann Leverence, LICSW

Individual provider Mental Health Counselor · NPI 1639313539

Melissa Ann Leverence, LICSW is a Clinical Social Worker in Moorhead, Minnesota. Qualified in 2002, 24 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
24
Licensed in
MN, ND
In the registry since
2009
Specialties on file
3
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

2405 8th St S Ste 200
Moorhead, MN 56560-4200
Phone: (218) 331-4866
Fax: (218) 331-4867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19653 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence AP09-524 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4244 (ND)

Record details

NPI number1639313539
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 23, 2009
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moorhead