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MS. MELISSA N. DOUGLAS LCSW
NPI 1932626017
Social Worker - Clinical in New York, NY

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
92.19/100
CMS Quality Rating
1824 MADISON AVE, NEW YORK, NY 10035(212) 423-4200 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Nov 4, 2022, Sep 8, 2021 and 1 more (4 updates tracked since 2017).

About Ms. Melissa N. Douglas Lcsw NPPES

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

MS. MELISSA N. DOUGLAS LCSW (NPI 1932626017) is an individual clinical provider in New York, New York, licensed in New York (091573) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932626017
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MELISSA N. DOUGLASCredential: LCSW
Location Address1824 MADISON AVENew York, NY 10035-3832
Mailing Address1824 Madison AveNew York, NY 10035-3832
Phone(212) 423-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2017
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1932626017 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 NY · 091573
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.
1824 MADISON AVE, New York, NY 10035
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa N. Smith

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

Ms. Melissa N. Douglas 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 ID6204232473
PECOS Enrollment IDI20210914001094
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.

Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
263 services25 patients
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.
217 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

92.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.73
Improvement Activities40
Cost83.29

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.

JOSEPH PORTELLI
Student in an Organized Health Care Education/Training Program
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
ADA UMUBERA MSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (646) 532-1923
CAITLIN SULLIVAN-POND LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4200
MS. TRA HOANG LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
NGOBITAK WILLIAMSON DDS
Dentist (Pediatric Dentistry)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 359-8660
DR. ROSS G HEWITT MD
Internal Medicine (Infectious Disease)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DENISE E TAYLOR LCSW
Social Worker (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DR. ROSHANE WRIGHT PH.D
Psychologist (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 633-0815

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 Douglas's NPI number?

The NPI number for Melissa Douglas is 1932626017. It was assigned to this individual provider in the NPPES registry on August 29, 2017. The provider is also known as Melissa N. Smith.

Where is Melissa Douglas located?

Melissa Douglas practices at 1824 Madison Ave, New York, NY 10035. The listed phone number is (212) 423-4200.

What is Melissa Douglas's specialty?

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

Is Melissa Douglas enrolled in Medicare?

Yes. Melissa Douglas 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 Douglas accept?

Health plans from Providence Health Plan list Melissa Douglas 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 Douglas was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.