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CALISSA NICOLE WELCH LCSW
NPI 1720473234
Social Worker - Clinical in Charlotte, NC

Active since April 01, 2015PECOS Enrolled
12141 OLD DULIN FARMS WAY, CHARLOTTE, NC 28215(860) 778-5317 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Calissa Nicole Welch Lcsw NPPES

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

CALISSA NICOLE WELCH LCSW (NPI 1720473234) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C014686) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1720473234
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCALISSA NICOLE WELCHCredential: LCSW
Location Address12141 OLD DULIN FARMS WAYCharlotte, NC 28215-5208
Mailing Address12141 Old Dulin Farms WayCharlotte, NC 28215-5208 · (860) 778-5317
Phone(860) 778-5317
Sole ProprietorYes
Enumeration DateApril 1, 2015
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1720473234 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
Licenses✔ Licensed in NC · C014686✔ Licensed in CT · 8929
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 · License 8929 (CT)
12141 OLD DULIN FARMS WAY, Charlotte, NC 28215
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Secondary Practice Location 1

Location 13580 Main St Bldg 11Hartford, CT 06120-1121 · Phone (860) 778-5317

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calissa Nicole Welch Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Calissa's Counseling Services, LLC
8.7 mi
Clinical
1914 J N PEASE PL
Charlotte, NC 28262
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1487162178 (860) 778-5317

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 28215 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

KIANA LANAE' PRATT LCSW-A
Social Worker (Clinical)
12141 OLD DULIN FARMS WAY
CHARLOTTE, NC 28215
Mecklenburg County (860) 778-5317

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 Calissa Welch's NPI number?

The NPI number for Calissa Welch is 1720473234. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Calissa Welch located?

Calissa Welch practices at 12141 Old Dulin Farms Way, Charlotte, NC 28215. The listed phone number is (860) 778-5317.

What is Calissa Welch's specialty?

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

Is Calissa Welch enrolled in Medicare?

Yes. Calissa Welch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Calissa Welch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Calissa Welch reassigns Medicare benefits to Calissa's Counseling Services, LLC (Charlotte, NC). 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 Calissa Welch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Calissa Welch accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and UnitedHealthcare list Calissa Welch 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 Calissa Welch was last updated on September 28, 2023. 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.