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MARISSA PETHSALA MELBY MSW LGSW
NPI 1265085724
Social Worker in Minneapolis, MN

Active since July 23, 2019
1121 JACKSON ST NE STE 105, MINNEAPOLIS, MN 55413(612) 874-7063(612) 874-8445 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Pethsala Melby Msw Lgsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA PETHSALA MELBY MSW LGSW (NPI 1265085724) is an individual social worker in Minneapolis, Minnesota, licensed in Minnesota (27609) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1265085724
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARISSA PETHSALA MELBYCredential: MSW LGSW
Location Address1121 JACKSON ST NE STE 105Minneapolis, MN 55413-1665
Mailing Address1121 Jackson St Ne Ste 105Minneapolis, MN 55413-1665 · (612) 874-7063 · Fax (612) 874-8445
Phone(612) 874-7063
Fax(612) 874-8445
Sole ProprietorYes
Enumeration DateJuly 23, 2019
✔ NPI 1265085724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 27609
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1121 JACKSON ST NE STE 105, Minneapolis, MN 55413
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DENISE RACHELLE WILKINS LADC
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1700
MR. JOSHUA D AUGST
Counselor (Addiction (Substance Use Disorder))
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 902-6018
KELSEY L JEZIERSKI MA LPCC
Counselor (Mental Health)
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 874-7063
CIARA DUFFY-GIDEON
Social Worker (Clinical)
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 874-7063
DOMESTIC ABUSE PROJECT
Clinic/Center (Mental Health (Including Community Mental Health Center))
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 874-7063
MERCEDE CUNNINGHAM
Social Worker (Clinical)
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 874-7063
SPECIALIZED TREATMENT SERVICES INC.
Clinic/Center (Methadone)
1121 JACKSON ST NE STE 105
MINNEAPOLIS, MN 55413
Hennepin County (612) 236-1710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Melby's NPI number?

The NPI number for Marissa Melby is 1265085724. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Marissa Melby located?

Marissa Melby practices at 1121 Jackson St NE Ste 105, Minneapolis, MN 55413. The listed phone number is (612) 874-7063.

What is Marissa Melby's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Marissa Melby was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.