MARLENA PIQUE LCSWC
NPI 1942569181
Social Worker - Clinical in Hagerstown, MD

Active since May 09, 2012PECOS Enrolled
18714 N VILLAGE, HAGERSTOWN, MD 21742(301) 733-0330(301) 733-4038 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marlena Pique Lcswc NPPES

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

MARLENA PIQUE LCSWC (NPI 1942569181) is an individual clinical provider in Hagerstown, Maryland, licensed in Maryland (09264) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1942569181
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARLENA PIQUECredential: LCSWC
Location Address18714 N VILLAGEHagerstown, MD 21742-2454
Mailing Address13218 Brooklane DrHagerstown, MD 21742-1435 · (301) 733-0330 · Fax (301) 733-4038
Fax(301) 733-4038
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 9, 2012
✔ NPI 1942569181 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 MD · 09264
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.
18714 N VILLAGE, Hagerstown, MD 21742

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlena Pique Lcswc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719141555
PECOS Enrollment IDI20220105000076, I20230714000769
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 Marlena Pique reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
15 FISH CAMP ROAD
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
Clinical
112 BUENA VISTA DR
Long Beach, MS 39560
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 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 21742 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Counselor (Professional)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Clinic/Center (Rehabilitation)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742
Social Worker (Clinical)
18714 N VILLAGE
HAGERSTOWN, MD 21742

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 Marlena Pique's NPI number?

The NPI number for Marlena Pique is 1942569181. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Marlena Pique located?

Marlena Pique practices at 18714 N Village, Hagerstown, MD 21742. The listed phone number is (301) 733-0330.

What is Marlena Pique's specialty?

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

Is Marlena Pique enrolled in Medicare?

Yes. Marlena Pique is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marlena Pique's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlena Pique reassigns Medicare benefits to 2 organizations: Atlanta Christian Counseling LLC (Lagrange, GA) and Coastal Christian Counseling (Long Beach, MS). 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 Marlena Pique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlena Pique accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare, Oscar Health, Oscar Health Plan, Inc. and UnitedHealthcare list Marlena Pique 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 Marlena Pique was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.