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MELISSA SWEENEY LCSW
NPI 1194133819
Social Worker - Clinical in Plainville, CT

Active since July 25, 2014PECOS Enrolled
40 GLENWOOD DR, PLAINVILLE, CT 06062(860) 930-7228 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Sweeney Lcsw NPPES

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

MELISSA SWEENEY LCSW (NPI 1194133819) is an individual clinical provider in Plainville, Connecticut, licensed in Connecticut (008586) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194133819
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA SWEENEYCredential: LCSW
Location Address40 GLENWOOD DRPlainville, CT 06062-1021
Mailing Address40 Glenwood DrPlainville, CT 06062-1021 · (860) 930-7228
Phone(860) 930-7228
Sole ProprietorNo
Enumeration DateJuly 25, 2014
✔ NPI 1194133819 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 CT · 008586
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.
40 GLENWOOD DR, Plainville, CT 06062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Sweeney Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Sweeney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunrise Psychological Services LLC
13 mi
Psychologist
25 ROYAL CREST DR
Prospect, CT 06712
  • Reassigned Medicare billing, Connecticut enrollment
  • 75 clinicians in this Medicare group
NPI 1699199869 (845) 826-0060
Step Up Care PC LLC
53 mi
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1154884740 (718) 298-4375

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 06062 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Sweeney's NPI number?

The NPI number for Melissa Sweeney is 1194133819. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Melissa Sweeney located?

Melissa Sweeney practices at 40 Glenwood Dr, Plainville, CT 06062. The listed phone number is (860) 930-7228.

What is Melissa Sweeney's specialty?

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

Is Melissa Sweeney enrolled in Medicare?

Yes. Melissa Sweeney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Sweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Sweeney reassigns Medicare benefits to 2 organizations: Sunrise Psychological Services LLC (Prospect, CT) and Step Up Care PC LLC (Danielson, CT). Each 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 Melissa Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Sweeney accept?

Health plans from Anthem Blue Cross and Blue Shield list Melissa Sweeney 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 Sweeney was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.