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

Mrs. Melina Victoria Simonson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1649362997

Mrs. Melina Victoria Simonson, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2002, 24 years ago. Practices with Associated Clinic of Psychology Inc, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3100 W Lake St Ste 210
Minneapolis, MN 55416-4597
Phone: (612) 925-6033
Fax: (612) 925-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 Atlantic Ave, Benson, MN 56215-1381 — (320) 843-3454

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13650 (MN)

Record details

NPI number1649362997
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 21, 2022

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 Associated Clinic Of Psychology Inc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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