Individual provider · Type 1 NPI

Melissa Lundgren

Clinical Social Worker · Suamico, WI

NPI number 1689458259 Active

Practice location

3235 Lakeview Dr
Suamico, WI 54173-8144

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12384-123 (WI)

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 1689458259

Melissa Lundgren's National Provider Identifier is 1689458259, issued on Aug 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Suamico, WI. The record was last updated on Jun 5, 2025.