MELANIE FIGUEROA LCSW
NPI 1740740208
Social Worker - Clinical in Milwaukee, WI
About Melanie Figueroa Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE FIGUEROA LCSW (NPI 1740740208) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (10210-123) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
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
Melanie Figueroa 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.
Medicare Billing Reassignments
2Medicare enrollment records show Melanie Figueroa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53204
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: 16th Street Community Health Center Inc.
- 147 clinicians in this Medicare group
West Allis, WI 53214
- Reassigned Medicare billing, Wisconsin enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
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 Melanie Figueroa's NPI number?
The NPI number for Melanie Figueroa is 1740740208. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Melanie Figueroa located?
Melanie Figueroa practices at 1635 W National Ave, Milwaukee, WI 53204. The listed phone number is (414) 672-1353.
What is Melanie Figueroa's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Melanie Figueroa enrolled in Medicare?
Yes. Melanie 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 organizations bill Medicare for Melanie Figueroa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Figueroa reassigns Medicare benefits to 2 organizations: Sixteenth Street Community Health Centers, Inc. (Milwaukee, WI) and Gibwater Enterprises LLC (West Allis, WI). 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 Melanie Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melanie Figueroa accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health, Oscar Health and Quartz and 1 other insurer list Melanie 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 Melanie Figueroa was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melanie Figueroa, LCSW · NPI 1740740208
Clinical provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1740740208 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 10210-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1635 W NATIONAL AVE, Milwaukee, WI 53204-1130
- **Phone:** (414) 672-1353 · **Fax:** (414) 672-6026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sixteenth Street Community Health Centers, Inc. (NPI 1316587439, Milwaukee, WI); Gibwater Enterprises LLC (NPI 1558176511, West Allis, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 11, 2026
- **Other identifiers:** Medicaid 1740740208 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1740740208) · Data from the CMS NPPES public registry.