MELISSA QUACKENBUSH LCSW
NPI 1669292975
Social Worker - Clinical in Austin, TX

Q: What is Melissa Quackenbush's NPI number?

The NPI number for Melissa Quackenbush is 1669292975. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Q: What is Melissa Quackenbush's specialty?

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

Q: Is Melissa Quackenbush enrolled in Medicare?

No. Melissa Quackenbush has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since October 11, 2024Opted out of Medicare · through Apr 11, 2028

5900 BALCONES DR STE 100, AUSTIN, TX 78731(512) 222-9431 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Melissa Quackenbush Lcsw NPPES

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

MELISSA QUACKENBUSH LCSW (NPI 1669292975) is an individual clinical provider in Austin, Texas, licensed in Texas (55820) and active in the NPI registry since October 2024. She has opted out of Medicare through April 11, 2028.

NPPES Registry Identity

NPI1669292975

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMELISSA QUACKENBUSHCredential: LCSW

Location Address5900 BALCONES DR STE 100Austin, TX 78731-4298

Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (512) 222-9431

Phone(512) 222-9431

Sole ProprietorNo

Enumeration DateOctober 11, 2024

NPPES CertifiedOctober 11, 2024

✔ NPI 1669292975 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 TX · 55820

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.

5900 BALCONES DR STE 100, Austin, TX 78731

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Quackenbush Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2024 through April 11, 2028.

Opt-Out Effective DateApril 11, 2024

Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

HAYWOOD WELLNESS AND COUNSELING PLLC

Clinic/Center (Adult Mental Health)