Mellicent Fae Hinson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61396536 Issued in WA

Practice address

5219 N Shirley St Ste 100
Ruston, WA 98407-6599

Phone

(253) 434-4220

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• DBT Center of Tacoma PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ruston, WA
  • NPI 1093404956

  Clinical

  NPD
• Elizabeth Lotempio, PSYD, PLLC

  • Clinical Psychologist
  • Ruston, WA
  • NPI 1346956646
  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1316628944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 N SHIRLEY ST STE 100",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984076599",
            "telephone_number": "253-434-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 N SHIRLEY ST STE 100",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984076599",
            "telephone_number": "253-434-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSON",
        "first_name": "MELLICENT",
        "middle_name": "FAE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61396536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DBT Center of Tacoma PLLC
• Kelly Ann Claire Doody, MSW
• Elizabeth Lotempio, PSYD, PLLC
• Luciano Joseph Garofalo, ND
• Tamey Lorraine Goodrum, LMP
• Sonia Hossain
• Chelsea N Hu, LPC
• Dorian Alaine Hunter, PHD
• Iroko Bridge LLC
• Tamara Kay Kabel, LMHCA

• Clinical Social Worker in Ruston, WA
• Providers in Ruston, 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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.