MRS. MELLISA ANN CARLSON LCSW
NPI 1457880825
Social Worker - Clinical in Coeur D Alene, ID

Q: What is Mellisa Carlson's NPI number?

The NPI number for Mellisa Carlson is 1457880825. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Miss Mellisa Ann Wright.

Q: What is Mellisa Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mellisa Carlson was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment

3700 W SELTICE WAY, COEUR D ALENE, ID 83814(208) 620-5250(844) 803-7399 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Jun 9, 2020, Jun 8, 2017 (3 updates tracked since 2017).

On this page

About Mrs. Mellisa Ann Carlson Lcsw NPPES

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

MRS. MELLISA ANN CARLSON LCSW (NPI 1457880825) is an individual clinical provider in Coeur D Alene, Idaho, licensed in Idaho (LCSW-39121) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457880825

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. MELLISA ANN CARLSONCredential: LCSW

Location Address3700 W SELTICE WAYCoeur D Alene, ID 83814-8921

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 625-2070

Phone(208) 620-5250

Fax(844) 803-7399

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 8, 2017

Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1457880825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-39121

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 ListedSocial WorkerTaxonomy 104100000X · License LMSW-36548 (ID)

3700 W SELTICE WAY, Coeur D Alene, ID 83814

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Other Names 1

Former Name (1)Miss Mellisa Ann Wright

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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

Mrs. Mellisa Ann Carlson 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 ID5799196713

PECOS Enrollment IDI20201124001264

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 Mellisa Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dirne Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

3700 W SELTICE WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
81 clinicians in this Medicare group

NPI 1255756730 (208) 215-2126

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 83814 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 $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

TAYLOR LEDBETTER

Counselor (Professional)