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Mickala S Washington

Speech-Language Pathologist β€’ Clinton, MS

Active NPI 1497402432 Individual Practitioner Female Practitioner
Practice location in NPPES

725 Clinton Pkwy
Clinton, MS 390565245

Call 6017078666 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

725 Clinton Pkwy

Clinton, MS 390565245

Telephone 6017078666
Organization at the Same NPPES Address or Phone
Drayer Physical Therapy Kentucky Llc Facility NPI 1003258443

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Pearl, MS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mickala Washington has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Clinton and Mississippi

12 active clinicians are listed under Speech-Language Pathologist with a practice address in Clinton, MS (1,502 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clinton

0% of these 12 clinicians have the CMS telehealth indicator.

16.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S-4690

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
S-4690 (MS)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20260619001282

Enrollment State Jurisdiction

MS

PECOS Control ID

3476025560

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

606 Silver Cv

Pearl, MS 392085003

Phone: 6019423027

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 09, 2026

Registered at 725 CLINTON PKWY, CLINTON, MS 390565245 (Tel: 6017078666)

πŸ“
Updated Business Mailing Address June 09, 2026

Registered at 1200 CORPORATE DR STE 400, HOOVER, AL 352425424 (Tel: 4232387271)

βœ…
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2022

Registered at 606 SILVER CV, PEARL, MS 392085003 (Tel: 6019423027)

πŸ“
Business Mailing Address (Initial Record) March 09, 2022

Registered at 606 SILVER CV, PEARL, MS 392085003

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2022

Recorded as MICKALA WASHINGTON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Speech-Language Pathologist (license number reported to NPPES: MS S-4690)

🟒
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497402432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: June 09, 2026
Sole Proprietor: No

Other Speech-Language Pathologists in Clinton

Healthcare providers in Clinton

Mailing Address

1200 Corporate Dr Ste 400

Hoover, AL 352425424

Phone: 4232387271

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.