Melissa Sempowski, LCSWA - Medicare Clinical Social Worker in Durham, NC

Melissa Sempowski, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Durham, North Carolina. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Chapel Hill Psychiatric Associates, P.a. and her current practice location is 2213 Elba St, Rm 245, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 668-3752.

Melissa Sempowski is licensed to practice in North Carolina (license number P009240) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659815447.

Contact Information

Melissa Sempowski, LCSWA
2213 Elba St, Rm 245,
Durham, NC 27705-3934
(919) 668-3752
(919) 681-2785

Map and Direction




Healthcare Provider's Profile

Full NameMelissa Sempowski
GenderFemale
SpecialityClinical Social Worker
Experience23 Years
Location2213 Elba St, Durham, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa Sempowski graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1659815447
  • Provider Enumeration Date: 12/13/2016
  • Last Update Date: 12/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0840574406
  • Enrollment ID: I20170227000452

Medical Identifiers

Medical identifiers for Melissa Sempowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659815447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P009240 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chapel Hill Psychiatric Associates, P.a.63059309425

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Sempowski allows following entities to bill medicare on her behalf.
Entity NamePrivate Diagnostic Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577
Entity NameChapel Hill Psychiatric Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245435718
PECOS PAC ID: 6305930942
Enrollment ID: O20070913000441

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Sempowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa Sempowski, LCSWA
Dumc Box 3026,
Durham, NC 27710

Ph: (919) 668-3752
Melissa Sempowski, LCSWA
2213 Elba St, Rm 245,
Durham, NC 27705-3934

Ph: (919) 668-3752

Reviews and Comments


Social Worker in Durham, NC

Miss Nancy Carol Lee, LCSW-P, CMSW, MHA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Social Work Service (122), Durham, NC 27705
Phone: 919-286-0411    Fax: 919-416-5834
Ms. Esther L Swim-wright, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 115 N Duke Street, Suite 1-b, Durham, NC 27701
Phone: 919-286-3453    Fax: 919-286-7033
Ms. Gwen Elizabeth Madill, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Social Work Service, Durham, NC 27705
Phone: 919-286-0411    
Mr. Timothy P Donahoe, LQP, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2670 Durham-chapel Hill Blvd., Durham, NC 27707
Phone: 919-251-9001    Fax: 919-251-9008
Mrs. Caroline Marie Griffin, MSW, LSCW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton Street, Department Of Veterans Affairs Medical Center, Durham, NC 27705
Phone: 919-286-0411    
Miss Madeline Hooper, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2670 Durham Chapel Hill Blvd, Durham, NC 27707
Phone: 919-251-9001    
Ms. Erum Agha, PHD, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2310 S Miami Blvd Ste 136, Durham, NC 27703
Phone: 919-401-8261    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.