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

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: October 18, 2026.

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
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

Other Names 1

Professional Name (2)Melissa Jean Rosewall Msw, Licsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Melissa Polski reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
5775 WAYZATA BLVD STE 255
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist (Clinical)
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416
Clinic/Center (Adult Mental Health)
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416
Pharmacist (Psychiatric)
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416
Physician Assistant
5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Neurology)
5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416
Clinic/Center (Adult Mental Health)
5775 WAYZATA BLVD STE 255
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN 55416

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.

Which organizations bill Medicare for Melissa Polski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Polski reassigns Medicare benefits to 5 organizations: University Of Minnesota Physicians (St Louis Park, MN), Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Polski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Polski accept?

Health plans from Sanford Health Plan list Melissa Polski 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 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 20 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.