RAQUEL MELYSSA PROVDA LICSW
NPI 1174888911
Social Worker - Clinical in Burlington, MA
About Raquel Melyssa Provda Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAQUEL MELYSSA PROVDA LICSW (NPI 1174888911) is an individual clinical provider in Burlington, Massachusetts, licensed in Massachusetts (LICSW1120818) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raquel Melyssa Provda 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.
Medicare Billing Reassignment
Medicare enrollment records show Raquel Provda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, MA 01805
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 Raquel Provda's NPI number?
The NPI number for Raquel Provda is 1174888911. It was assigned to this individual provider in the NPPES registry on July 9, 2012.
Where is Raquel Provda located?
Raquel Provda practices at 41 Mall Rd, Burlington, MA 01805. The listed phone number is (781) 744-8000.
What is Raquel Provda's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Raquel Provda enrolled in Medicare?
Yes. Raquel Provda 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.
Which organization bills Medicare for Raquel Provda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Provda reassigns Medicare benefits to Lahey Clinic, Inc. (Burlington, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raquel Provda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raquel Provda accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Raquel Provda 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 Raquel Provda was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Raquel Melyssa Provda, LICSW · NPI 1174888911
Clinical provider in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since July 9, 2012.
## Identity
- **NPI:** 1174888911 (Entity type: Individual)
- **Enumerated:** July 9, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LICSW1120818 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 41 MALL RD, Burlington, MA 01805-0001
- **Phone:** (781) 744-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174888911) · Data from the CMS NPPES public registry.