Mylinda Marie Nudd Morris, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007290 Issued in VA

Practice address

91-2135 Fort Weaver Rd Ste 501
Ewa Beach, HI 96706-1929

Phone

(808) 312-6800

Fax

(808) 680-0003

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By 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

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1366952780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2129 KAIOLI ST APT 3304",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066198",
            "telephone_number": "910-489-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD STE 501",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-312-6800",
            "fax_number": "808-680-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MYLINDA",
        "middle_name": "MARIE NUDD",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarlette Elaine Montalvo, LSW
• Shonacee Montero, APRN-RX
• Timothy Hoon Moon, MD
• John Aaron Moore Jr.
• Kevin Charles Moran, MS
• Tabitha Rose Morris, CTRS
• Tamara Morris
• Carey Motohiro
• Briana Mullen, MSN, NP-C
• Nicole Rae Newby Munoz

• Clinical Social Worker in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.