Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MELISSA L. BLACK LCSW
NPI 1053424770
Social Worker - Clinical in Henderson, NV

Active since August 16, 2006PECOS Enrolled
62.53/100
CMS Quality Rating
2200 PASEO VERDE PKWY STE 190, HENDERSON, NV 89052(573) 330-9919 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Apr 30, 2026 (2 updates tracked since 2026).

About Mrs. Melissa L. Black Lcsw NPPES

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

MRS. MELISSA L. BLACK LCSW (NPI 1053424770) is an individual clinical provider in Henderson, Nevada, licensed in Missouri (2005000353) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053424770
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MELISSA L. BLACKCredential: LCSW
Location Address2200 PASEO VERDE PKWY STE 190Henderson, NV 89052-2703
Mailing Address2200 Paseo Verde Pkwy Ste 190Henderson, NV 89052-2703 · (573) 330-9919
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1053424770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · 2005000353
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2200 PASEO VERDE PKWY STE 190, Henderson, NV 89052

Other Names 1

Former Name (1)Melissa L Washam

Secondary Practice Location 1

Location 11103 Weber RdFarmington, MO 63640-3345 · Phone (573) 664-1629 · Fax (573) 431-6580

Other Identifiers 1

Medicaid497360107MO

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

Mrs. Melissa L. Black Lcsw 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 ID2365845385
PECOS Enrollment IDI20210728000625
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
112 services20 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
88 services13 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
61 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.8
Promoting Interoperability69
Improvement Activities40
Cost30.8

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Psychiatric/Mental Health)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Counselor (Mental Health)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Social Worker (Clinical)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Counselor (Professional)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Marriage & Family Therapist
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Nurse Practitioner (Primary Care)
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052
Community/Behavioral Health
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 89052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Black's NPI number?

The NPI number for Melissa Black is 1053424770. It was assigned to this individual provider in the NPPES registry on August 16, 2006. The provider is also known as Melissa L Washam.

Where is Melissa Black located?

Melissa Black practices at 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052. The listed phone number is (573) 330-9919.

What is Melissa Black's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Black enrolled in Medicare?

Yes. Melissa Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melissa Black accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Melissa Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Black was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.