Tam Quythi Dinh, PH.D, LICSW
Individual provider Active NPI Clinical Social Worker · Mercer Island, WA
NPI 1104446541 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1104446541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 60665800 (WA)
- Practice address
- 2270 72ND Ave SE
Mercer Island, WA 98040-2323 - Phone
- (206) 696-1866
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60665800 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 60665800 | WA | Yes |
Addresses
Primary practice location
2270 72ND Ave SE
Mercer Island, WA 98040-2323
Mailing address
2270 72ND Ave SE
Mercer Island, WA 98040-2323
Phone (206) 696-1866
Other practice location 1
5000 Abbey Way SE
Lacey, WA 98503-3200
Phone (206) 696-1866
Other providers in Mercer Island, WA
- Dental Med Alliance
- Parisa Derakshani
- Dermatology Clinic PLLC
- Rachel M Dillon
- Dina E McNeil Arnp PLLC
- Divorce Options, P.S.
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
- Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
- Nicholas Docter
- Dr Jeffrey Parton DC PS
All providers in Mercer Island, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.