Tamara Minchow, MSW, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61342267 Issued in WA

Practice address

4407 N Division St Ste 205
Spokane, WA 99207-1660

Phone

(509) 919-2156

NPI assigned

Jan 12, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 12, 2026 through May 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1790499739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071660",
            "telephone_number": "425-445-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071660",
            "telephone_number": "509-919-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHOW",
        "first_name": "TAMARA",
        "credential": "MSW, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61342267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tami@fcsinterventions.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4407 N Division St Ste 205",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992071660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Makenzie Mims, MA, LMHC, LPC
• Ciera Kanani Yunko Min
• Kaitlyn N Minahan, DPT
• Andrew Steven Minaker
• Mitchell Minana, MD
• Mind and Matter Health PLLC
• Mind Balance Counseling LLC
• Mind Body Soul Psychiatry PLLC
• Mind Over Matter Mental Health, LLC
• Mindful Bodywork PLLC

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, 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 Jan 12, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.