Active NPI
Mary Water Minton, LCSW
- Clinical Social Worker
- Port Angeles, WA
National Provider Identifier
1821870296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00006102
- Practice address
- 2442 Lower Elwha Rd
Port Angeles, WA 98363-8405 - Phone
- (360) 643-9398
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00006102 | WA | Primary |
Addresses
Primary practice location
2442 Lower Elwha Rd
Port Angeles, WA 98363-8405
Mailing address
PO Box 293
Port Angeles, WA 98362-0100
Phone (360) 643-9398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404002718 | WA | Practitioner - Clinical Social Worker | 1153845722 | Practice locations: Port Angeles, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Port Angeles, WA 98363
Phone (360) 643-9398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00006102 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1821870296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620100",
"telephone_number": "360-643-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2442 LOWER ELWHA RD",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983638405",
"telephone_number": "360-643-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTON",
"first_name": "MARY",
"middle_name": "WATER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00006102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.