MS. MELANIE ANNE SWAIN LCSW, MED, CST
NPI 1174810709
Social Worker - Clinical in Newtown, PA

Active since July 04, 2011Opted out of Medicare · through Jan 1, 2028
509 WASHINGTON AVE, NEWTOWN, PA 18940(267) 399-3759(267) 843-9766 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Dec 27, 2022 (2 updates tracked since 2022).

About Ms. Melanie Anne Swain Lcsw, Med, Cst NPPES

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

MS. MELANIE ANNE SWAIN LCSW, MED, CST (NPI 1174810709) is an individual clinical provider in Newtown, Pennsylvania, licensed in Pennsylvania (CW020354) and active in the NPI registry since July 2011. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174810709
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELANIE ANNE SWAINCredential: LCSW, MED, CST
Location Address509 WASHINGTON AVENewtown, PA 18940-2170
Mailing Address18 Old Mill LnHolland, PA 18966-2845 · (609) 774-3368
Fax(267) 843-9766
Sole ProprietorYes
Enumeration DateJuly 4, 2011
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1174810709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in PA · CW020354 Licensed in MA · LCSW 217250 Licensed in NJ · 44SL 05669200 Licensed in MA · LICSW 117764
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.
509 WASHINGTON AVE, Newtown, PA 18940

Other Names 1

Former Name (1)Mrs. Melanie Swain-knapp Lcsw, Med, Cst

Secondary Practice Locations 2

Location 14920 York RoadBuckingham, PA 18912 · Phone (267) 399-3759
Location 2509 Floral Vale Blvd Ste AYardley, PA 19067-5512 · Phone (267) 399-3759

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Melanie Anne Swain Lcsw, Med, Cst has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
509 WASHINGTON AVE
NEWTOWN, PA 18940
Counselor
509 WASHINGTON AVE
NEWTOWN, PA 18940
Counselor
509 WASHINGTON AVE
NEWTOWN, PA 18940
Social Worker
509 WASHINGTON AVE
NEWTOWN, PA 18940

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 Melanie Swain's NPI number?

The NPI number for Melanie Swain is 1174810709. It was assigned to this individual provider in the NPPES registry on July 4, 2011. The provider is also known as Mrs. Melanie Swain-Knapp Lcsw, Med, Cst.

Where is Melanie Swain located?

Melanie Swain practices at 509 Washington Ave, Newtown, PA 18940. The listed phone number is (267) 399-3759.

What is Melanie Swain's specialty?

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

Is Melanie Swain enrolled in Medicare?

No. Melanie Swain has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melanie Swain was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.