MS. MELISA SHELDON L.C.S.W.
NPI 1205093747
Social Worker - Clinical in Belford, NJ

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
569 STATE ROUTE 36, BELFORD, NJ 07718(973) 859-2700 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Melisa Sheldon L.c.s.w. NPPES

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

MS. MELISA SHELDON L.C.S.W. (NPI 1205093747) is an individual clinical provider in Belford, New Jersey, licensed in New Jersey (44SC04675800) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1205093747
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELISA SHELDONCredential: L.C.S.W.
Location Address569 STATE ROUTE 36Belford, NJ 07718-1651
Mailing Address569 State Route 36Belford, NJ 07718-1651 · (973) 859-2700 · Fax (732) 268-8459
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 21, 2008
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1205093747 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 NJ · 44SC04675800
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.
569 STATE ROUTE 36, Belford, NJ 07718

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

Ms. Melisa Sheldon L.c.s.w. 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 ID5597757534
PECOS Enrollment IDI20231005003796
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

3

Medicare enrollment records show Melisa Sheldon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
759 SW FEDERAL HWY STE 201B
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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.

Areas of Expertise CMS Part B claims 2

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
152 services21 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07718 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 Melisa Sheldon's NPI number?

The NPI number for Melisa Sheldon is 1205093747. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Melisa Sheldon located?

Melisa Sheldon practices at 569 State Route 36, Belford, NJ 07718. The listed phone number is (973) 859-2700.

What is Melisa Sheldon's specialty?

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

Is Melisa Sheldon enrolled in Medicare?

Yes. Melisa Sheldon 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 organizations bill Medicare for Melisa Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melisa Sheldon reassigns Medicare benefits to 3 organizations: Anchorage Counseling LLC (Stuart, FL), Mtca Psychological Services P.A. (North Miami Beach, FL) and Grow Healthcare Group PA (Miami, FL). 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 Melisa Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melisa Sheldon accept?

Health plans from Ambetter Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Melisa Sheldon 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 Melisa Sheldon was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.