MELISSA AVINA LISW-SUPV
NPI 1922280635
Social Worker - Clinical in Archbold, OH

Active since December 04, 2007PECOS EnrolledAccepts Medicare Assignment
22251 STATE ROUTE 2, ARCHBOLD, OH 43502(419) 445-1552(419) 445-1401 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Melissa Avina Lisw-supv NPPES

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

MELISSA AVINA LISW-SUPV (NPI 1922280635) is an individual clinical provider in Archbold, Ohio, licensed in Ohio (I.1901959-SUPV) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Toledo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922280635
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA AVINACredential: LISW-SUPV
Location Address22251 STATE ROUTE 2Archbold, OH 43502-9452
Mailing Address16398 County Road FWauseon, OH 43567-9705 · (419) 388-9579
Fax(419) 445-1401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 4, 2007
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
NPI 1922280635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OH · I.1901959-SUPV Licensed in OH · S.0025536
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.

22251 STATE ROUTE 2, Archbold, OH 43502

Secondary Practice Location 1

Location 11 Stranahan Sq, Suite 414Toledo, OH 43604-1447 · Phone (800) 693-6000

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

Melissa Avina Lisw-supv 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 ID446689137
PECOS Enrollment IDI20200331003672
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 43502 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 18

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

Counselor
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Counselor (Mental Health)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Social Worker (Clinical)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Counselor (Mental Health)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Social Worker (Clinical)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Social Worker (Clinical)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Counselor (Mental Health)
22251 STATE ROUTE 2
ARCHBOLD, OH 43502
Marriage & Family Therapist
22251 STATE ROUTE 2
ARCHBOLD, OH 43502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922280635, enumerated as an "individual" on December 04, 2007.

The provider is located at 22251 STATE ROUTE 2 ARCHBOLD, OH 43502 and the phone number is (419) 445-1552.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: CareSource, MedMutual, Molina Healthcare, Oscar. Please consult your insurance carrier or call the provider to verify.