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MRS. MELANIE DOWNEN LCSW
NPI 1679232607
Social Worker - Clinical in Mount Vernon, IL

Active since December 17, 2021PECOS EnrolledAccepts Medicare Assignment
3600 S WATER TOWER PL, MOUNT VERNON, IL 62864(618) 244-0212 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Melanie Downen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELANIE DOWNEN LCSW (NPI 1679232607) is an individual clinical provider in Mount Vernon, Illinois, licensed in Illinois (149023618) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679232607
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MELANIE DOWNENCredential: LCSW
Location Address3600 S WATER TOWER PLMount Vernon, IL 62864-6589
Mailing Address9789 Chittyville RdJohnston City, IL 62951-2503 · (618) 513-1997
Phone(618) 244-0212
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 17, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1679232607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149023618
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3600 S WATER TOWER PL, Mount Vernon, IL 62864
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Melanie Downen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729509716
PECOS Enrollment IDI20250306001906
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melanie Downen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Resilient Roots Therapy PLLC
2.8 mi
Clinical
3600 S WATER TOWER PL
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
NPI 1689497794 (618) 244-0212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA CHAVEZ
Counselor (Mental Health)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0212
MRS. LINDSEY MARIE ADAMS GREENWALT M.S.W. L.C.S.W.
Social Worker (Clinical)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0212
BRIDGE COUNSELING & WELLNESS PLLC
Social Worker (Clinical)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 316-3146
ROOTS OF HOPE COUNSELING PLLC
Social Worker (Clinical)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0212
LIVING HOPE COUNSELING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (706) 483-6926
PATHWAYS COUNSELING AND CONSULTATION PLLC
Social Worker (Clinical)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0212
CIARA BEAUMONT MILLER LPC
Counselor (Mental Health)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 244-0212
JAMIE LYNN CLARKE MSW
Social Worker (Clinical)
3600 S WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 472-2212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Downen's NPI number?

The NPI number for Melanie Downen is 1679232607. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Melanie Downen located?

Melanie Downen practices at 3600 S Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-0212.

What is Melanie Downen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melanie Downen enrolled in Medicare?

Yes. Melanie Downen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melanie Downen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Downen reassigns Medicare benefits to Resilient Roots Therapy PLLC (Mount Vernon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Downen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Downen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Melanie Downen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melanie Downen was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.