MELANIE MARIE LUGO LCSW
NPI 1265024434
Social Worker - Clinical in Liverpool, NY
About Melanie Marie Lugo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE MARIE LUGO LCSW (NPI 1265024434) is an individual clinical provider in Liverpool, New York, licensed in New York (100478) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Liverpool, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Melanie Marie Lugo Lcsw 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 Melanie Lugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, New York enrollment
- 144 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 13090 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lugo's NPI number?
The NPI number for Melanie Lugo is 1265024434. It was assigned to this individual provider in the NPPES registry on February 9, 2021.
Where is Melanie Lugo located?
Melanie Lugo practices at 107 River Park Dr, Liverpool, NY 13090. The listed phone number is (315) 303-2103.
What is Melanie Lugo's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Melanie Lugo enrolled in Medicare?
Yes. Melanie Lugo 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 Melanie Lugo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Lugo reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Melanie Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melanie Lugo accept?
Health plans from Harvard Pilgrim Health Care list Melanie Lugo 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 Melanie Lugo was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Melanie Marie Lugo, LCSW · NPI 1265024434
Clinical provider in Liverpool, New York. Individual provider, active in the CMS NPPES registry since February 9, 2021.
## Identity
- **NPI:** 1265024434 (Entity type: Individual)
- **Enumerated:** February 9, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 100478 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 107 RIVER PARK DR, Liverpool, NY 13090-2841
- **Phone:** (315) 303-2103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265024434) · Data from the CMS NPPES public registry.