MRS. MELISSA L. BLACK (LCSW) – Clinical Social Worker, NPI 1053424770
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 CLINICAL SOCIAL WORKER in MO
Provider Addresses for MRS. MELISSA L. BLACK (LCSW)
118 WEST PINE PLAZA
FARMINGTON, MO 63640
Phone: (573) 701-0330
Fax: (573) 701-0330
Type: Location
1103 Weber Rd
Farmington, MO 636403345
Phone: (573) 664-1629
Fax: (573) 431-6580
Type: Location
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV 890522703
Phone: (573) 330-9919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210728000625 | I | Clinical Social Worker | NV | TBD |
| I20240613003892 | I | Clinical Social Worker | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 150 | 29 | $0 |
| 90834 | Psychotherapy, 45 minutes | 101 | 19 | $0 |
| 90832 | Psychotherapy, 30 minutes | 78 | 20 | $0 |
| 90837 | Psychotherapy, 1 hour | 57 | 14 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | NV | |
| Clinical Social Worker | NV | |
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | NV | |
| Marriage And Family Therapist | NV | |
| Nurse Practitioner | NV | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | NV | |
| - | NV | |
| Mental Health Counselor | UT |
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