MELISSA KATHERINE BLACK MSW, LCSW
NPI 1336337732
Social Worker - Clinical in Marina, CA

Active since October 10, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Katherine Black Msw, Lcsw NPPES

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

MELISSA KATHERINE BLACK MSW, LCSW (NPI 1336337732) is an individual clinical provider in Marina, California, licensed in California (LCSW79673) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336337732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA KATHERINE BLACKCredential: MSW, LCSW
Location Address299 12TH STMarina, CA 93933-6003
Mailing AddressPo Box 1436Morgan Hill, CA 95038-1436 · (831) 647-7652
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 10, 2007
Last NPPES UpdateOctober 13, 2017
NPI 1336337732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW79673
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License ASW59562 (CA)
299 12TH ST, Marina, CA 93933

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Katherine Black Msw, 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.

PECOS PAC ID5496013807
PECOS Enrollment IDI20171212002811
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93933 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 $61.69 – $184.30
Typical copayment $0.00 (range $15.42 – $46.07)
Most-billed visit code NA
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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 20

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

Marriage & Family Therapist
299 12TH ST
MARINA, CA 93933
Marriage & Family Therapist
299 12TH ST
MARINA, CA 93933
Rehabilitation Practitioner
299 12TH ST
MARINA, CA 93933
Counselor (Mental Health)
299 12TH ST
MARINA, CA 93933
Licensed Vocational Nurse
299 12TH ST
MARINA, CA 93933
Social Worker (Clinical)
299 12TH ST
MARINA, CA 93933
Community Health Worker
299 12TH ST
MARINA, CA 93933
Counselor (Mental Health)
299 12TH ST
MARINA, CA 93933

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 Black's NPI number?

The NPI number for Melissa Black is 1336337732. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Melissa Black located?

Melissa Black practices at 299 12th St, Marina, CA 93933. The listed phone number is (831) 647-7652.

What is Melissa Black's specialty?

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

Is Melissa Black enrolled in Medicare?

Yes. Melissa Black 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.

When was this NPI record last updated?

The NPPES record for Melissa Black was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.