Mellicent Fae Hinson, MSW
Individual provider Active NPI Clinical Social Worker · Ruston, WA
NPI 1316628944 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1316628944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 61396536 (WA)
- Practice address
- 5219 N Shirley St Ste 100
Ruston, WA 98407-6599 - Phone
- (253) 434-4220
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61396536 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT Center of Tacoma PLLC | Clinical | Current |
Accepting new patients |
| Elizabeth Lotempio, PSYD, PLLC | Current |
Accepting new patients |
Locations
5219 N Shirley St
Ste 100
Ruston, WA 98407
Phone (206) 218-3277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 61396536 | WA | Yes |
Addresses
Primary practice location
5219 N Shirley St Ste 100
Ruston, WA 98407-6599
Mailing address
5219 N Shirley St Ste 100
Ruston, WA 98407-6599
Phone (253) 434-4220
Other providers in Ruston, WA
- DBT Center of Tacoma PLLC
- Kelly Ann Claire Doody
- Elizabeth Lotempio, PSYD, PLLC
- Luciano Joseph Garofalo
- Tamey Lorraine Goodrum
- Sonia Hossain
- Chelsea N Hu
- Dorian Alaine Hunter
- Iroko Bridge LLC
- Tamara Kay Kabel
All providers in Ruston, 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 Jul 27, 2023. 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.