Active NPI
Melanie Renault, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1669192092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014180
- Practice address
- 5700 W Grace St Ste 108
Richmond, VA 23226-1832 - Phone
- (804) 442-3116
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904014180 | VA | Primary |
| Professional Counselor | 101YP2500X | 0904014180 | VA |
Addresses
Primary practice location
5700 W Grace St Ste 108
Richmond, VA 23226-1832
Mailing address
5700 W Grace St Ste 108
Richmond, VA 23226-1832
Phone (804) 442-3116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230118001887 | VA | Practitioner - Clinical Social Worker | 5597136192 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4906 Cutshaw Ave
Suite 101
Richmond, VA 23230-3630
Phone (804) 621-5024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie Renault, LLC | Clinical | Current | Accepting new patients |
| The Mind Health Center, LLC | Clinical | Current | Accepting new patients |
Locations
5700 W Grace St
Ste 105A
Richmond, VA 23226
Phone (804) 282-1885
4906 Cutshaw Ave
Ste 101
Richmond, VA 23230
Phone (804) 216-6406
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1669192092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W GRACE ST STE 108",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261832",
"telephone_number": "804-442-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GRACE ST STE 108",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261832",
"telephone_number": "804-442-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENAULT",
"first_name": "MELANIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014180",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0904014180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.