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

Mrs. Melissa Carol Thelen, LMSW

Individual provider Clinical Social Worker · NPI 1790517753

Mrs. Melissa Carol Thelen, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2001, 25 years ago. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2024
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031
Phone: (616) 719-0194
Fax: (800) 219-5205
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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 6801122081 (MI)

Record details

NPI number1790517753
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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