MELINDA SOTO LCSW
NPI 1710690219
Social Worker - Clinical in Stratford, CT

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment
54 LYNNCREST DR, STRATFORD, CT 06614(475) 218-8517 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melinda Soto Lcsw NPPES

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

MELINDA SOTO LCSW (NPI 1710690219) is an individual clinical provider in Stratford, Connecticut, licensed in Connecticut (012230) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2018).

NPPES Registry Identity

NPI1710690219
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELINDA SOTOCredential: LCSW
Location Address54 LYNNCREST DRStratford, CT 06614-4749
Mailing Address54 Lynncrest DrStratford, CT 06614-4749 · (475) 218-8517
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2018
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1710690219 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 CT · 012230
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.
54 LYNNCREST DR, Stratford, CT 06614

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

Melinda Soto 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 ID2668834029
PECOS Enrollment IDI20230816003459
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 Reassignments

2

Medicare enrollment records show Melinda Soto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
16 HILLSIDE AVE
Naugatuck, CT 06770
  • Reassigned Medicare billing, Connecticut enrollment
  • 143 clinicians in this Medicare group
Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
73 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06614 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Melinda Soto's NPI number?

The NPI number for Melinda Soto is 1710690219. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Melinda Soto located?

Melinda Soto practices at 54 Lynncrest Dr, Stratford, CT 06614. The listed phone number is (475) 218-8517.

What is Melinda Soto's specialty?

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

Is Melinda Soto enrolled in Medicare?

Yes. Melinda Soto 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 organizations bill Medicare for Melinda Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Soto reassigns Medicare benefits to 2 organizations: Stokes Counseling Services LLC (Naugatuck, CT) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). Each 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 Melinda Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Soto accept?

Health plans from Anthem Blue Cross and Blue Shield list Melinda Soto 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 Melinda Soto was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.