Individual provider Active NPI

Melanie Downen, LCSW

  • Clinical Social Worker
  • Mount Vernon, IL
National Provider Identifier
1679232607
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023618 Issued in IL
Practice address
3600 S Water Tower PL
Mount Vernon, IL 62864-6589
Phone
(618) 244-0212
NPI assigned
Dec 17, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023618 IL Primary

Addresses

Primary practice location

3600 S Water Tower PL
Mount Vernon, IL 62864-6589

Mailing address

9789 Chittyville Rd
Johnston City, IL 62951-2503
Phone (618) 513-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250306001906 IL Practitioner - Clinical Social Worker 8729509716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 S Water Tower PL
Mount Vernon, IL 62864-6589
Phone 6182440212108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023618ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Roots Therapy PLLC Clinical CurrentSince Dec 5, 2024 Accepting new patients
Cornerstone Family Counseling, LLC Clinical Past Accepting new patients

Locations

3600 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-0212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1679232607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9789 CHITTYVILLE RD",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629512503",
            "telephone_number": "618-513-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646589",
            "telephone_number": "618-244-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEN",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.