Merrillee Royse, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61151479 Issued in WA

Practice address

14114 8TH Avenue CT S
Tacoma, WA 98444-3346

Phone

(253) 219-5306

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 25, 2023 through Jun 25, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1063142149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 8TH AVENUE CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443346",
            "telephone_number": "253-219-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 8TH AVENUE CT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443346",
            "telephone_number": "253-219-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSE",
        "first_name": "MERRILLEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61151479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Seth Roy, M.D.
• Royal Family Home Care LLC
• Royal Life Centers, LLC
• Talia Mozelle Royal, LICSWA
• Brian Charles Royer, RN
• Melissa Rozdilsky, PHARMD
• Emily Susan Roznowski, AUD
• David Jonathan Ruan, MD
• Yuyin Ruan, BCBA, M.ED, LBA
• Lauren Rubenstein

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.