MELISSA ROSEWALL POLSKI MSW, LICSW
NPI 1851106207
Social Worker - Clinical in St Louis Park, MN

Q: What is Melissa Polski's NPI number?

The NPI number for Melissa Polski is 1851106207. It was assigned to this individual provider in the NPPES registry on February 12, 2025. The provider is also known as Melissa Jean Rosewall Msw, Licsw.

Q: What is Melissa Polski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Polski was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 February 12, 2025PECOS EnrolledAccepts Medicare Assignment

5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416(952) 525-4500 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Melissa Rosewall Polski Msw, Licsw NPPES

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

MELISSA ROSEWALL POLSKI MSW, LICSW (NPI 1851106207) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (30162) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851106207

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMELISSA ROSEWALL POLSKICredential: MSW, LICSW

Location Address5775 WAYZATA BLVD STE 255St Louis Park, MN 55416-1275

Mailing Address5775 Wayzata Blvd Ste 255St Louis Park, MN 55416-1275 · (952) 525-4500

Phone(952) 525-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1851106207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 30162

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5775 WAYZATA BLVD STE 255, St Louis Park, MN 55416

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Other Names 1

Professional Name (2)Melissa Jean Rosewall Msw, Licsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Rosewall Polski Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901326545

PECOS Enrollment IDI20250226000036

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. LISA MARIE ANDERSON PHD

Psychologist (Clinical)

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

Hennepin County (952) 525-4500

UNIVERSITY OF MINNESOTA PHYSICIANS

Clinic/Center (Adult Mental Health)

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

Hennepin County (122) 738-7106

JEFFREY R BISHOP PHARMD, BCPP

Pharmacist (Psychiatric)

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

Hennepin County (612) 273-8710

MISS LAURA JANE FOLLETT-LARSON PA-C

Physician Assistant

5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416

Hennepin County (952) 525-4450

LAURA LINNER A.M., LICSW

Social Worker (Clinical)

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

Hennepin County (952) 525-4500

DR. DONGMING CAI M.D./PH.D.

Psychiatry & Neurology (Neurology)

5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416

Hennepin County (952) 525-4500

UNIVERSITY OF MINNESOTA PHYSICIANS

Clinic/Center (Adult Mental Health)

5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416

Hennepin County (952) 525-4500

CHRISTA JOYCE READER LICSW

Social Worker (Clinical)

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

Hennepin County (952) 525-4512

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 Melissa Polski's NPI number?

The NPI number for Melissa Polski is 1851106207. It was assigned to this individual provider in the NPPES registry on February 12, 2025. The provider is also known as Melissa Jean Rosewall Msw, Licsw.

Where is Melissa Polski located?

Melissa Polski practices at 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416. The listed phone number is (952) 525-4500.

What is Melissa Polski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Polski enrolled in Medicare?

Yes. Melissa Polski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Melissa Polski was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.