MARYJO MELANDER LICSW
NPI 1770712713
Social Worker in Eagan, MN

Q: What is Maryjo Melander's NPI number?

The NPI number for Maryjo Melander is 1770712713. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Q: What is Maryjo Melander's specialty?

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

Q: Is Maryjo Melander enrolled in Medicare?

No. Maryjo Melander has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Maryjo Melander was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 13, 2009Opted out of Medicare · through Dec 28, 2027

1960 CLIFF LAKE ROAD, SUITE 129-179, EAGAN, MN 55122(651) 505-5349 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2023, Jan 13, 2023, Oct 26, 2017 (3 updates tracked since 2017).

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About Maryjo Melander Licsw NPPES

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

MARYJO MELANDER LICSW (NPI 1770712713) is an individual social worker in Eagan, Minnesota, licensed in Minnesota (LICSW 17391) and active in the NPI registry since July 2009. She has opted out of Medicare through December 28, 2027.

NPPES Registry Identity

NPI1770712713

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARYJO MELANDERCredential: LICSW

Location Address1960 CLIFF LAKE ROAD, SUITE 129-179Eagan, MN 55122

Mailing Address1960 Cliff Lake Road, Suite 129-179Eagan, MN 55122 · (651) 505-5349

Phone(651) 505-5349

Sole ProprietorNo

Enumeration DateJuly 13, 2009

Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1770712713 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 · LICSW 17391

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.

1960 CLIFF LAKE ROAD, Eagan, MN 55122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Maryjo Melander Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 28, 2023 through December 28, 2027.

Opt-Out Effective DateDecember 28, 2023

Opt-Out In Effect ThroughDecember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR GERALD W RAUCHWARTER DDS LLC

Dentist (General Practice)

1960 CLIFF LAKE ROAD, #127
EAGAN, MN 55122

Dakota County (651) 681-1676

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 Maryjo Melander's NPI number?

The NPI number for Maryjo Melander is 1770712713. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Maryjo Melander located?

Maryjo Melander practices at 1960 Cliff Lake Road Suite 129-179, Eagan, MN 55122. The listed phone number is (651) 505-5349.

What is Maryjo Melander's specialty?

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

Is Maryjo Melander enrolled in Medicare?

No. Maryjo Melander has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Maryjo Melander accept?

Health plans from HealthPartners list Maryjo Melander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryjo Melander was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.