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

Individual provider Mental Health Counselor · NPI 1184219974

Melissa Goroni Larson, LICSW is a Clinical Social Worker in Chaska, Minnesota. Qualified in 2017, 9 years ago. Practices with Affinity Psychological Services PC, a 64-clinician group. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2021
Specialties on file
2
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

111 Hundertmark Rd Ste 205N
Chaska, MN 55318-1586
Phone: (952) 903-1350
Fax: (952) 426-3856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 26844 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 26844 (MN)

Record details

NPI number1184219974
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 4, 2021
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address9400 Zane Ave N, Brooklyn Park, MN 55443-1814

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Affinity Psychological Services Pc — 64 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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