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MELISA FIGUEROA LICSW
NPI 1386643039
Social Worker - Clinical in Martinsburg, WV

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
99 TAVERN RD, MARTINSBURG, WV 25401(304) 263-7023(304) 264-0508 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melisa Figueroa Licsw NPPES

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

MELISA FIGUEROA LICSW (NPI 1386643039) is an individual clinical provider in Martinsburg, West Virginia, licensed in West Virginia (DP00942337) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1386643039
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISA FIGUEROACredential: LICSW
Location Address99 TAVERN RDMartinsburg, WV 25401-2890
Mailing AddressPo Box 1146Martinsburg, WV 25402-1146 · (304) 263-7023 · Fax (304) 264-0508
Phone(304) 263-7023
Fax(304) 264-0508
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 15, 2005
Last NPPES UpdateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1386643039 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 WV · DP00942337
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.
99 TAVERN RD, Martinsburg, WV 25401
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Other Identifiers 1

Medicaid3810003246WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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

Melisa Figueroa 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.

PECOS PAC ID2264515816
PECOS Enrollment IDI20080206000193
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 Reassignment

Medicare enrollment records show Melisa Figueroa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shenandoah Valley Medical System, Inc.
Same address
Federally Qualified Health Center (FQHC)
99 TAVERN RD
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 33 clinicians in this Medicare group
NPI 1083617823 (304) 263-4999

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 25401 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 $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

CASSIE ANN MCNAMEE
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
GIANLUCA LAMONACA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-7023
PRISCILLA BRYANT-SCHOENLY MSW
Social Worker (Clinical)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (302) 263-4999
KAREN ELIZABETH LAAKANIEMI MSN,CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-0660
KRISTA HOPKINS M.D.
Obstetrics & Gynecology
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
MRS. MICHELE M SHEETZ FNP
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
LINDA GILLET CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999

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 Figueroa's NPI number?

The NPI number for Melisa Figueroa is 1386643039. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Melisa Figueroa located?

Melisa Figueroa practices at 99 Tavern Rd, Martinsburg, WV 25401. The listed phone number is (304) 263-7023.

What is Melisa Figueroa's specialty?

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

Is Melisa Figueroa enrolled in Medicare?

Yes. Melisa Figueroa 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 Melisa Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melisa Figueroa reassigns Medicare benefits to Shenandoah Valley Medical System, Inc. (Martinsburg, WV). 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 Melisa Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melisa Figueroa accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Melisa Figueroa 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 Figueroa was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.