Melanie Waller, LICSW
NPI 1962098236ActiveIndividual· Social Worker, Clinical· Edina, MN
Social Worker, Clinical (LICSW) with Nystrom and Associates Ltd and 1 other group, practicing in Edina, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1962098236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Dec 21, 2020 |
| Last updated in NPPES | Nov 3, 2026 |
| Certified by provider | Nov 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 24772 | MN |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
- Mosaic Therapy GroupEdina, MN · 3 clinicians
Other clinical social workers in Edina
- 1003341801
- 1013099191
- 1023627593
- 1144810110
- 1144813627
- 1144896465
- 1336352665
- 1356530224
- 1396309696
- 1407002587
- 1417834151
- 1457852717
All 161 clinical social workers in Edina · All clinical social workers in Minnesota