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

MS. Amber Nicole Mutalipassi, LCSW

Individual provider Social Worker · NPI 1417316001

MS. Amber Nicole Mutalipassi, LCSW is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
7
Licensed in
MN, ND
In the registry since
2016
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

624 Main Ave Ste 3A
Fargo, ND 58103-1966
Phone: (701) 373-1149
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5301 (ND)
Social Worker Taxonomy 104100000X · Licence 5301 (ND)
Social Worker Taxonomy 104100000X · Licence 25046 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 25046 (MN)

Record details

NPI number1417316001
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2016
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fargo