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

Mrs. Mellisa Ann Carlson, LCSW

Individual provider Social Worker · NPI 1457880825

Mrs. Mellisa Ann Carlson, LCSW is a Clinical Social Worker in Coeur D Alene, Idaho. Qualified in 2017, 9 years ago. Practices with Dirne Health Centers Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone: (208) 620-5250
Fax: (844) 803-7399
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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 LCSW-39121 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-36548 (ID)

Record details

NPI number1457880825
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

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 Dirne Health Centers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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