Individual provider · Type 1 NPI

Melissa Butler, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1497625677 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Call (612) 672-6000 Map

Mailing address

47 Wyoming St W
St. Paul, MN 55107-3342

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X30078 (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 1497625677

Melissa Butler, LICSW's National Provider Identifier is 1497625677, issued on Nov 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 19, 2025.