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MELISSA GRACE MONDICH LCSW-C
NPI 1962788174
Social Worker - Clinical in Baltimore, MD

Active since November 01, 2011Opted out of Medicare · through Oct 1, 2026
6565 N. CHARLES STREET, PPE-203, BALTIMORE, MD 21204(443) 849-3760(443) 849-8138 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Oct 21, 2018 (2 updates tracked since 2018).

About Melissa Grace Mondich Lcsw-c NPPES

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

MELISSA GRACE MONDICH LCSW-C (NPI 1962788174) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (20427) and active in the NPI registry since November 2011. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962788174
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA GRACE MONDICHCredential: LCSW-C
Location Address6565 N. CHARLES STREET, PPE-203Baltimore, MD 21204
Mailing Address6565 N. Charles Street, Ppe-203Baltimore, MD 21204 · (443) 849-3760 · Fax (443) 849-8138
Phone(443) 849-3760
Fax(443) 849-8138
Sole ProprietorNo
Enumeration DateNovember 1, 2011
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
✔ NPI 1962788174 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 · 20427
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.
6565 N. CHARLES STREET, Baltimore, MD 21204
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Other Names 1

Former Name (1)Melissa Grace Ennis Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Grace Mondich Lcsw-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 14

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

KIMBERLY KESLER O'ROURKE M.D.
Obstetrics & Gynecology
6565 N. CHARLES STREET, SUITE 406
BALTIMORE, MD 21204
Baltimore County (443) 849-2568
NEERAJ PARKASH M.D.
Student in an Organized Health Care Education/Training Program
6565 N. CHARLES STREET, STE 203
TOWSON, MD 21204
Baltimore County (443) 849-3760
RENU SUKHUPAYO MBBS, MD
Student in an Organized Health Care Education/Training Program
6565 N. CHARLES STREET, PPE SUITE 201
TOWSON, MD 21204
Baltimore County (443) 849-3760
DR. BETHLEHEM L ABEBE-WOLPAW MD
Pediatrics
6565 N. CHARLES STREET, SUITE 306
BALTIMORE, MD 21204
Baltimore County (443) 849-2781
SARA IFTIKHAR
Student in an Organized Health Care Education/Training Program
6565 N. CHARLES STREET, STE 203
TOWSON, MD 21204
Baltimore County (443) 849-3760
ZAHID JAMIL M.D
Student in an Organized Health Care Education/Training Program
6565 N. CHARLES STREET, STE 203
TOWSON, MD 21204
Baltimore County (443) 849-3760
RACHEL F. PLOTNICK M.D.
Pediatrics
6565 N. CHARLES STREET, SUITE 306
BALTIMORE, MD 21204
Baltimore County (443) 849-2781
FATOUMATTA BINTOU SISSOHO MD
Hospitalist
6565 N. CHARLES STREET, PPE 201
TOWSON, MD 21204
Baltimore County (443) 849-2682

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 Mondich's NPI number?

The NPI number for Melissa Mondich is 1962788174. It was assigned to this individual provider in the NPPES registry on November 1, 2011. The provider is also known as Melissa Grace Ennis Lcsw.

Where is Melissa Mondich located?

Melissa Mondich practices at 6565 N. Charles Street Ppe-203, Baltimore, MD 21204. The listed phone number is (443) 849-3760.

What is Melissa Mondich's specialty?

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

Is Melissa Mondich enrolled in Medicare?

No. Melissa Mondich has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melissa Mondich was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.