Melinda Gail Himstedt, LICSW | |
1520 Kanawha Blvd E, Charleston, WV 25311-2413 | |
(681) 265-9047 | |
(681) 265-9210 |
Full Name | Melinda Gail Himstedt |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1520 Kanawha Blvd E, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417365065 | NPI | - | NPPES |
0023815000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00944410 (West Virginia) | Primary |
104100000X | Social Worker | CP00944410 (West Virginia) | Secondary |
Entity Name | Psi Med Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932444221 PECOS PAC ID: 9335199843 Enrollment ID: O20050124000058 |
Mailing Address | Practice Location Address |
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Melinda Gail Himstedt, LICSW Po Box 9569, South Charleston, WV 25309-0569 Ph: (681) 265-9047 | Melinda Gail Himstedt, LICSW 1520 Kanawha Blvd E, Charleston, WV 25311-2413 Ph: (681) 265-9047 |
Danny Dickerson, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Quarrier St Ste 310, Charleston, WV 25301 Phone: 304-513-3900 | |
Erin Elizabeth Cox, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Covenant House Wv, 600 Shrewsbury Street, Charleston, WV 25301 Phone: 304-414-5923 | |
Beverly J Wheatcraft, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Shrewsbury St, Box 8, Charleston, WV 25301 Phone: 304-444-7086 Fax: 304-965-3176 | |
Marsha Ann Miller, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Kenton Dr Ste 200, Charleston, WV 25311 Phone: 304-575-6960 | |
Sarah Elizabeth Shapero, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 116 Hills Plz, Charleston, WV 25387 Phone: 304-720-4466 Fax: 304-720-4821 | |
Haven Adkins, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Quarrier St Ste 310, Charleston, WV 25301 Phone: 304-539-8423 | |
Jennifer Ellen Funk, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Quarrier St Ste 310, Charleston, WV 25301 Phone: 304-993-3219 |