Melinda Gail Himstedt, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00944410 Issued in WV

Practice address

1520 Kanawha Blvd E
Charleston, WV 25311-2413

Phone

(681) 265-9047

Fax

(681) 265-9210

NPI assigned

Jul 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Melinda Gail Davis Other name

Medicare fee-for-service enrollment

Enrolled in WV

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psi Med IncGroup PAC ID 9335199843, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Psimed, Inc.

  • Psychiatry Physician
  • Morgantown, WV
  • NPI 1932444221
  Medicare reassignment Care Compare group NPD
• Family Counseling Connection

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1659594638
  NPD (past)
• Family Counseling Connections

  • Mental Health Counselor
  • Charleston, WV
  • NPI 1548519887
  NPD (past)
• Links LLC

  • Psychiatry Physician
  • Saint Albans, WV
  • NPI 1265816599
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1417365065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9569",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253090569",
            "telephone_number": "681-265-9047",
            "fax_number": "681-265-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112413",
            "telephone_number": "681-265-9047",
            "fax_number": "681-265-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMSTEDT",
        "first_name": "MELINDA",
        "middle_name": "GAIL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944410",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "CP00944410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023815000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "DAVIS",
            "middle_name": "GAIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanika Hill
• Tremain Hill
• Hillcrest Health Care Center, LLC
• Cheryl Dawn Hilliard
• Lyberti Hillman
• Bethany Hinchman
• Teresa Hindle, CPHT
• Makayla Hindman
• Jessica Hinds
• Amy Hines

• Clinical Social Worker in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.