# MRS. MELINDA M WINNINGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619978038
- **Gender:** F
- **Credential:** SOCIAL WORKER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 200099250A | IN | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 06/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200099250 | — | IN |