IndividualActive
Melissa Moran, LICSW
NPI 1457693962 · Clinical Social Worker · Stacy, MN
Melissa Moran, LICSW is a Clinical Social Worker provider in Stacy, MN (NPI 1457693962).
Provider details
- NPI number
- 1457693962
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18211 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22625 E Martin Lake Dr Ne
Stacy, MN 55079-9376
Phone: (651) 462-0647
Street-level locationGet directions
Mailing address
22625 E Martin Lake Dr Ne
Stacy, MN 55079-9376
Registry dates
- Enumerated
- 2013-03-22
- Last updated
- 2013-03-22
Frequently asked questions
- What is Melissa Moran's NPI number?
- Melissa Moran's National Provider Identifier (NPI) is 1457693962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melissa Moran's specialty?
- Melissa Moran is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Melissa Moran located?
- Melissa Moran's practice location on file with NPPES is 22625 E Martin Lake Dr Ne, Stacy, MN 55079-9376.
- What is Melissa Moran's phone number?
- The practice phone number listed in the NPPES registry for Melissa Moran is (651) 462-0647.
- Is Melissa Moran's NPI active?
- Yes — Melissa Moran's NPI (1457693962) is active in the NPPES registry as of the last update on 2013-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.