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MELISSA L. EDELMAYER MSW, LISW-S, LICDC
NPI 1053668681
Social Worker - Clinical in Gahanna, OH

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
540 OFFICENTER PL, SUITE 270, GAHANNA, OH 43230(614) 664-3595(614) 664-3595 Get Directions Write a Review

NPPES record last updated: September 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2017, Jan 25, 2016 (2 updates tracked since 2016).

About Melissa L. Edelmayer Msw, Lisw-s, Licdc NPPES

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

MELISSA L. EDELMAYER MSW, LISW-S, LICDC (NPI 1053668681) is an individual clinical provider in Gahanna, Ohio, licensed in Ohio (I.1000341.SUPV) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053668681
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA L. EDELMAYERCredential: MSW, LISW-S, LICDC
Location Address540 OFFICENTER PL, SUITE 270Gahanna, OH 43230-5317
Mailing Address540 Officenter Pl Ste 160Gahanna, OH 43230-5352 · (614) 664-3595 · Fax (614) 664-3595
Phone(614) 664-3595
Fax(614) 664-3595
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 14, 2012
Last NPPES UpdateSeptember 21, 20172 updates tracked since enumeration
✔ NPI 1053668681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1000341.SUPV
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.161327 (OH)
540 OFFICENTER PL, Gahanna, OH 43230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Melissa L. Edelmayer Msw, Lisw-s, Licdc 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 ID3375969298
PECOS Enrollment IDI20200821001246
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

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, 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.
32 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

MRS. SARAH GRACE OTTO CNP
Nurse Practitioner
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230
Franklin County (614) 293-1707
AMY PAZARENTZOS MSW
Social Worker (Clinical)
540 OFFICENTER PL, SUITE 290
GAHANNA, OH 43230
Franklin County (888) 336-1772
SIGNATURE HEALTH SERVICES, LLC
Home Health
540 OFFICENTER PL, SUITE 295
GAHANNA, OH 43230
Franklin County (614) 501-1879
KELSIE A HAMMOND APRNCNP
Nurse Practitioner
540 OFFICENTER PL
GAHANNA, OH 43230
Franklin County (614) 293-1707
DR. ALISHA NICOLE PLOTNER MD
Dermatology
540 OFFICENTER PL, STE 240
GAHANNA, OH 43230
Franklin County (614) 293-1707
DR. GABRIELLE ALEXANDRA BROKAMP MD
Dermatology
540 OFFICENTER PL
GAHANNA, OH 43230
Franklin County (614) 293-1707
DR. JENNIFER ANNE SOPKOVICH M.D.
Dermatology
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230
Franklin County (614) 293-1707
DR. DAVID RAYMOND CARR M.D.
Dermatology (MOHS-Micrographic Surgery)
540 OFFICENTER PL, SUITE 240
GAHANNA, OH 43230
Franklin County (614) 293-1707

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 Edelmayer's NPI number?

The NPI number for Melissa Edelmayer is 1053668681. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Melissa Edelmayer located?

Melissa Edelmayer practices at 540 Officenter Pl Suite 270, Gahanna, OH 43230. The listed phone number is (614) 664-3595.

What is Melissa Edelmayer's specialty?

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

Is Melissa Edelmayer enrolled in Medicare?

Yes. Melissa Edelmayer 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 Edelmayer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 4 other insurers list Melissa Edelmayer 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 Edelmayer was last updated on September 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.