Individual provider · Type 1 NPI
Melody M. Mortenson, LCSW
Clinical Social Worker · Fayetteville, AR
Practice location
4241 N Gabel Dr Ste 2B-1
Fayetteville, AR 72703-5004
Fax (479) 249-6989
Mailing address
PO Box 555
Fayetteville, AR 72702-0555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2551-C (AR) |
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 1467732172
Melody M. Mortenson, LCSW's National Provider Identifier is 1467732172, issued on Aug 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, AR. The record was last updated on Oct 29, 2026.