Moriah Leigh Faimalie, MSW, LSWAIC, MHP
Individual provider Active NPI Clinical Social Worker · Orting, WA
NPI 1740927755 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1740927755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SC.61035363 (WA)
- Practice address
- 721 Williams St NW
Orting, WA 98360-7503 - Phone
- (206) 963-3019
- NPI assigned
- May 19, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC.61035363 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC.61035363 | WA | Yes |
Addresses
Primary practice location
721 Williams St NW
Orting, WA 98360-7503
Mailing address
721 Williams St NW
Orting, WA 98360-7503
Phone (206) 963-3019
Other providers in Orting, WA
- James Lee Duffin
- Brenton Dulak
- Allen John Engberg
- Rachel L Erickson
- Natosha Rae-Ann Estes
- Tinneca Fortin
- Amanda Goodwater
- Meagen M. Gore
- Lori Gosney
- Theodora S. Graves
All providers in Orting, 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 May 19, 2022. 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.