Individual provider · Type 1 NPI

Melissa Carol Kinneman

Clinical Social Worker · Oakdale, MN

NPI number 1609772318 Active

Practice location

7066 Stillwater Blvd N
Oakdale, MN 55128-3937

Call (612) 417-8633 Map

Mailing address

315 Theo Ct
Hastings, MN 55033-1582

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1609772318

Melissa Carol Kinneman's National Provider Identifier is 1609772318, issued on Oct 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakdale, MN. The record was last updated on Oct 19, 2026.