Individual provider · Type 1 NPI

Theresa M. Melnychenko, MA, LP

Clinical Social Worker · Northfield, MN

NPI number 1013970888 Active

Practice location

680 Professional Dr
Northfield, MN 55057-2755

Call (507) 663-0237 Map

Fax (507) 663-1180

Mailing address

PO Box 43, Mr 10809
Minneapolis, MN 55440-0043

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	LP0950 (MN)
Clinical Social Worker Primary	1041C0700X	7804 (MN)
Marriage & Family Therapist	106H00000X	117 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1013970888

Theresa M. Melnychenko, MA, LP's National Provider Identifier is 1013970888, issued on Apr 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northfield, MN. The record was last updated on Jul 13, 2026.