MICHELLE LEA HIGGINS LCSW
NPI 1871126417
Social Worker - Clinical in Pittsburgh, PA

Active since February 21, 2020PECOS EnrolledAccepts Medicare Assignment
810 CLAIRTON BLVD STE 500600, PITTSBURGH, PA 15236(412) 650-1100 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2020, Feb 21, 2020 (2 updates tracked since 2020).

About Michelle Lea Higgins Lcsw NPPES

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

MICHELLE LEA HIGGINS LCSW (NPI 1871126417) is an individual clinical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (CW020835) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871126417
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE LEA HIGGINSCredential: LCSW
Location Address810 CLAIRTON BLVD STE 500600Pittsburgh, PA 15236-5505
Mailing Address810 Clairton Blvd Ste 500600Pittsburgh, PA 15236-5505 · (412) 650-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 21, 2020
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1871126417 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 PA · CW020835
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.
810 CLAIRTON BLVD STE 500600, Pittsburgh, PA 15236

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

Michelle Lea Higgins 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 ID1052736048
PECOS Enrollment IDI20200807001801
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 Michelle Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
810 CLAIRTON BLVD STE 500600
Pittsburgh, PA 15236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 93 clinicians in this Medicare group
Same address
Internal Medicine
810 CLAIRTON BLVD STE 400
Pittsburgh, PA 15236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 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 15236 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Mental Health)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Professional)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Mental Health)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Nurse Practitioner (Family)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236

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 Michelle Higgins's NPI number?

The NPI number for Michelle Higgins is 1871126417. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Michelle Higgins located?

Michelle Higgins practices at 810 Clairton Blvd Ste 500600, Pittsburgh, PA 15236. The listed phone number is (412) 650-1100.

What is Michelle Higgins's specialty?

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

Is Michelle Higgins enrolled in Medicare?

Yes. Michelle Higgins 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 Michelle Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Higgins reassigns Medicare benefits to 2 organizations: Jefferson Regional Medical Center (Pittsburgh, PA) and Allegheny Clinic (Pittsburgh, PA). 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 Michelle Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Higgins was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.