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MELISSA A MITSDARFFER LCSW
NPI 1891094496
Social Worker - Clinical in Du Quoin, IL

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
1016 S MADISON ST, SUITE A, DU QUOIN, IL 62832(618) 542-4357(618) 542-3442 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa A Mitsdarffer Lcsw NPPES

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

MELISSA A MITSDARFFER LCSW (NPI 1891094496) is an individual clinical provider in Du Quoin, Illinois, licensed in Illinois (149014583) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1891094496
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA A MITSDARFFERCredential: LCSW
Location Address1016 S MADISON ST, SUITE ADu Quoin, IL 62832-2442
Mailing Address1016 S Madison St, Suite ADu Quoin, IL 62832-2442 · (618) 542-4357 · Fax (618) 542-3442
Phone(618) 542-4357
Fax(618) 542-3442
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 22, 2011
✔ NPI 1891094496 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 IL · 149014583
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.
1016 S MADISON ST, Du Quoin, IL 62832
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Melissa A Mitsdarffer 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 ID6002084183
PECOS Enrollment IDI20110715000057
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
97 services11 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
57 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62832 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

SANDRA SCHUBERT
Counselor (Mental Health)
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357
CHRISTOPHER FIELDS
Counselor (Mental Health)
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357
MCLAIN BAKER MHP
Counselor
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357
PERRY COUNTY COUNSELING CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1016 S MADISON ST, SUITE A
DU QUOIN, IL 62832
Perry County (618) 542-4357
KATIE BASTIEN MHP
Counselor (Mental Health)
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357
CYNTHIA PALMER
Counselor (Mental Health)
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357
ANTHONY BRYANT MORAN LPC
Counselor
1016 S MADISON ST, SUITE A
DU QUOIN, IL 62832
Perry County (618) 542-4357
SHAKEELA BROWN
Rehabilitation Counselor
1016 S MADISON ST
DU QUOIN, IL 62832
Perry County (618) 542-4357

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 Melissa Mitsdarffer's NPI number?

The NPI number for Melissa Mitsdarffer is 1891094496. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Melissa Mitsdarffer located?

Melissa Mitsdarffer practices at 1016 S Madison St Suite A, Du Quoin, IL 62832. The listed phone number is (618) 542-4357.

What is Melissa Mitsdarffer's specialty?

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

Is Melissa Mitsdarffer enrolled in Medicare?

Yes. Melissa Mitsdarffer 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 Melissa Mitsdarffer accept?

Health plans from Providence Health Plan list Melissa Mitsdarffer 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 Melissa Mitsdarffer was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.