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MELANIE FIGUEROA LCSW
NPI 1740740208
Social Worker - Clinical in Milwaukee, WI

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
1635 W NATIONAL AVE, MILWAUKEE, WI 53204(414) 672-1353(414) 672-6026 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Aug 11, 2023, Jul 27, 2023 and 2 more (5 updates tracked since 2019).

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 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740740208
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELANIE FIGUEROACredential: LCSW
Location Address1635 W NATIONAL AVEMilwaukee, WI 53204-1130
Mailing Address1337 S Cesar E Chavez DrMilwaukee, WI 53204-2712 · (414) 672-1353
Phone(414) 672-1353
Fax(414) 672-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2019
Last NPPES UpdateOctober 19, 20235 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1740740208 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 WI · 10210-123
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 131388-121 (WI)
1635 W NATIONAL AVE, Milwaukee, WI 53204
Open in Google Maps ↗

Other Identifiers 1

Medicaid1740740208WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6800246091
PECOS Enrollment IDI20240117001580
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.

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.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 8

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

MRS. TINIKA KIMBERLY ALDRIDGE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 257-7900
GUILLERMO PALACIOS CRUZ DNP
Nurse Practitioner (Psychiatric/Mental Health)
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
ANGELA POST APNP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 257-7900
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
JENNIFER ORTA MARTINEZ QTT
Counselor
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
MARGARET JAMES
Student in an Organized Health Care Education/Training Program
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 840-2619
JENNIFER MARIE HOUTLER LPC
Counselor (Professional)
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353
MIRANDA ANN MALONE LCSW
Social Worker (Clinical)
1635 W NATIONAL AVE
MILWAUKEE, WI 53204
Milwaukee County (414) 672-1353

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.

What insurance does Melanie Figueroa accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Providence Health Plan 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 October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.