Active NPI
Shirley J. Miller, LCSW
- Clinical Social Worker
- Placerville, CA
National Provider Identifier
1003089996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS-8741
- Practice address
- 670 Placerville Dr
Suite 1B
Placerville, CA 95667-4200 - Phone
- (530) 621-5290
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS-8741 | CA | Primary |
Addresses
Primary practice location
670 Placerville Dr
Suite 1B
Placerville, CA 95667-4200
Mailing address
670 Placerville Drive
Suite 1B
Placerville, CA 95667-4200
Phone (530) 621-5290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS-8741 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1003089996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PLACERVILLE DRIVE",
"address_2": "SUITE 1B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674200",
"telephone_number": "530-621-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PLACERVILLE DR",
"address_2": "SUITE 1B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674200",
"telephone_number": "530-621-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHIRLEY",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS-8741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.