MELISSA MACCAFFERTY (L.I.C.S.W) – Clinical Social Worker, NPI 1316201791

MELISSA MACCAFFERTY (L.I.C.S.W) is a healthcare provider. based in Elk river, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.I.C.S.W. They hold a License No. 14933 (MN). The NPI Number for MELISSA MACCAFFERTY (L.I.C.S.W) is 1316201791

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MACCAFFERTY (L.I.C.S.W)
NPI
1316201791
Phone
(763) 236-0500
Address
14181 BUSINESS CENTER DR NW
Enumeration Date
29 June 2012
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632364300
Graduation Year
2007 (19 years ago)
PAC ID
5395970511
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20131024000642
Address ID
MN554322718FR520XXNEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MELISSA MACCAFFERTY (L.I.C.S.W)

  • 14181 BUSINESS CENTER DR NW

    ELK RIVER, MN 553304654

    Phone: (763) 236-0500

    Fax: (763) 236-0525

    Type: Mailing

  • 385 TERRITORIAL RD NE

    BLAINE, MN 554341544

    Phone: (651) 251-5033

    Fax: (651) 251-5204

    Type: Mailing

  • 7066 STILLWATER BLVD N

    OAKDALE, MN 551283937

    Phone: (651) 251-5033

    Fax: (651) 251-5204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131024000642IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour3023$0
90834Psychotherapy, 45 minutes2115$0
View full utilization report →

Insurance plans in this area (ZIP 55330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

Does MELISSA MACCAFFERTY (L.I.C.S.W) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MELISSA MACCAFFERTY (L.I.C.S.W) uses 1316201791.
Can I rely on MELISSA MACCAFFERTY (L.I.C.S.W) being an active provider?
As of the registry snapshot, MELISSA MACCAFFERTY (L.I.C.S.W) is marked active.
What is MELISSA MACCAFFERTY (L.I.C.S.W) best known for clinically?
Directory data describes MELISSA MACCAFFERTY (L.I.C.S.W) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MELISSA MACCAFFERTY (L.I.C.S.W) serve?
MELISSA MACCAFFERTY (L.I.C.S.W)'s listing highlights Elk River, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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