Search › Minnesota › 1041C0700X
Melanie Waller, LICSW
NPI 1962098236 · on the registry since 2020
Practice
- Address
- 4600 77th St W Ste 370
Edina, MN 55435 - Phone
- (612) 464-1400
- Fax
- (612) 315-6001
- Organisation at this address
- Mosaic Therapy Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota