MRS. MICHELE MARIE MASTALARZ MSW, LCSW
NPI 1851668669
Social Worker - Clinical in Milwaukee, WI

Active since November 22, 2011PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
207 E BUFFALO ST, SUITE 510, MILWAUKEE, WI 53202(262) 375-1116(262) 375-1071 Get Directions Write a Review

NPPES record last updated: March 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Michele Marie Mastalarz Msw, Lcsw NPPES

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

MRS. MICHELE MARIE MASTALARZ MSW, LCSW (NPI 1851668669) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (8124-123) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851668669
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MICHELE MARIE MASTALARZCredential: MSW, LCSW
Location Address207 E BUFFALO ST, SUITE 510Milwaukee, WI 53202-5739
Mailing Address207 E Buffalo St, Suite 510Milwaukee, WI 53202 · (414) 262-3751 · Fax (414) 262-3751
Fax(262) 375-1071
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 22, 2011
Last NPPES UpdateMarch 29, 2014
NPI 1851668669 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 · 8124-123
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 128508-121 (WI)
207 E BUFFALO ST, Milwaukee, WI 53202

Other Identifiers 2

Other128508-121WI · Apsw
Other8124-123WI · State Of Wi Department Of Safety And Professional Services, Lcsw

Accepted 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

Mrs. Michele Marie Mastalarz Msw, 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 ID4688935851
PECOS Enrollment IDI20180305000100
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 53202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
207 E BUFFALO ST, SUITE 510
MILWAUKEE, WI 53202
Acupuncturist
207 E BUFFALO ST, SUITE 529
MILWAUKEE, WI 53202
Social Worker (Clinical)
207 E BUFFALO ST, #300
MILWAUKEE, WI 53202

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 Michele Mastalarz's NPI number?

The NPI number for Michele Mastalarz is 1851668669. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Michele Mastalarz located?

Michele Mastalarz practices at 207 E Buffalo St Suite 510, Milwaukee, WI 53202. The listed phone number is (262) 375-1116.

What is Michele Mastalarz's specialty?

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

Is Michele Mastalarz enrolled in Medicare?

Yes. Michele Mastalarz 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 Michele Mastalarz accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Network Health list Michele Mastalarz 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 Michele Mastalarz was last updated on March 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.