Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melinda Jo Roman, LICSW

Individual provider Clinical Social Worker · NPI 1790484137

Melinda Jo Roman, LICSW is a Clinical Social Worker in Silverdale, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2023
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12620 Willamette Meridian Rd NW
Silverdale, WA 98383-9701
Phone: (360) 509-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Pottery Ave, Port Orchard, WA 98366-3768 — (360) 895-5000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61521146 (WA)
Social Worker Taxonomy 104100000X

Record details

NPI number1790484137
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

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