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

Melissa Vaughn, LICSW

Individual provider Clinical Social Worker · NPI 1790100055

Melissa Vaughn, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with Hennepin County, a 132-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2014
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

1313 Penn Ave N
Minneapolis, MN 55411-3047
Phone: (612) 543-2500
Fax: (612) 302-4870
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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 20991 (MN)

Record details

NPI number1790100055
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hennepin County — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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