MR. CHARLES L MELLINGER MSW, LICSW
NPI 1033295944
Counselor - Mental Health in Beverly, MA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
23 BROADWAY, BEVERLY, MA 01915(978) 922-2280(978) 927-1758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles L Mellinger Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES L MELLINGER MSW, LICSW (NPI 1033295944) is an individual mental health provider in Beverly, Massachusetts, licensed in Massachusetts (21135) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1033295944
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CHARLES L MELLINGERCredential: MSW, LICSW
Location Address23 BROADWAYBeverly, MA 01915-4417
Mailing Address18 Hathaway AveBeverly, MA 01915-1416 · (978) 922-2280 · Fax (978) 927-1758
Fax(978) 927-1758
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1033295944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 21135
23 BROADWAY, Beverly, MA 01915

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles L Mellinger Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466553037
PECOS Enrollment IDI20070726000296
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Psychologist
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033295944, enumerated as an "individual" on October 31, 2006.

The provider is located at 23 BROADWAY BEVERLY, MA 01915 and the phone number is (978) 922-2280.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.