MELANIE M ST. RAYMOND
NPI 1689800591
Social Worker - Clinical in Danbury, CT

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
24 HOSPITAL AVE, DANBURY, CT 06810(203) 791-5140(203) 798-9200 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melanie M St. Raymond NPPES

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

MELANIE M ST. RAYMOND (NPI 1689800591) is an individual clinical provider in Danbury, Connecticut, licensed in Connecticut (8010) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689800591
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELANIE M ST. RAYMOND
Location Address24 HOSPITAL AVEDanbury, CT 06810
Mailing Address24 Hospital AveDanbury, CT 06810-6099 · (203) 791-5140 · Fax (203) 798-9200
Fax(203) 798-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateJuly 30, 2018
NPI 1689800591 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 CT · 8010
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.
24 HOSPITAL AVE, Danbury, CT 06810

Other Identifiers 1

Medicaid004235918CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie M St. Raymond 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 ID7214173194
PECOS Enrollment IDI20130419000243
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Practitioner (Acute Care)
24 HOSPITAL AVE
DANBURY, CT 06810
Anesthesiology
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810

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 St. Raymond's NPI number?

The NPI number for Melanie St. Raymond is 1689800591. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Melanie St. Raymond located?

Melanie St. Raymond practices at 24 Hospital Ave, Danbury, CT 06810. The listed phone number is (203) 791-5140.

What is Melanie St. Raymond's specialty?

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

Is Melanie St. Raymond enrolled in Medicare?

Yes. Melanie St. Raymond 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.

What insurance does Melanie St. Raymond accept?

Health plans from Providence Health Plan list Melanie St. Raymond 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 St. Raymond was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.