Melissa L. Black, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005000353 Issued in MO

Practice address

2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703

Phone

(573) 330-9919

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melissa L Washam Former name

Medicare fee-for-service enrollment

Enrolled in NV, UT, MO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

80.29

Promoting interoperability

95

Improvement activities

40

Cost

61.08

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.black.1@24259.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258

  Clinical

  Medicare reassignment Care Compare group NPD
• Deborah a Christensen PHD & Associates, Inc

  • Psychologist
  • Draper, UT
  • NPI 1891955936
  Medicare reassignment NPD
• Southeast Missouri Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1982875407
  Medicare reassignment
• Next Level Psychiatry Arizona PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1932703626
  NPD
• Corner Canyon Counseling

  • Community/Behavioral Health Agency
  • Draper, UT
  • NPI 1114371580
  NPD (past)
• Melissa Huffman, LCSW, LLC

  • Mental Health Counselor
  • Farmington, MO
  • NPI 1427248251
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1053424770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "573-330-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "573-330-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636403345",
            "country_code": "US",
            "telephone_number": "573-664-1629",
            "fax_number": "573-431-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005000353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497360107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WASHAM",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Bittinger, DPT
• Chad E Bittner, MD
• Samantha Rebecca Marie Bivins
• Black Mountain Dental
• Black Mountain Orthopaedics Assc LLP
• Shelly Black, LCSW
• Teresa Sanchez Black
• Angelique Blackburn
• David Blake
• Patrick Joseph Blake III, HIS

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.