Active NPI
Patrick Taylor Milam, LICSW
- Clinical Social Worker
- Irondale, AL
National Provider Identifier
1003521162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5632C
- Practice address
- 7901 Crestwood Blvd
Irondale, AL 35210-2611 - Phone
- (205) 933-8101
- NPI assigned
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6035G | AL | |
| Clinical Social Worker | 1041C0700X | 6035G | AL | |
| Clinical Social Worker | 1041C0700X | 5632C | AL | Primary |
Addresses
Primary practice location
7901 Crestwood Blvd
Irondale, AL 35210-2611
Mailing address
4709 Melissa Way
Vestavia, AL 35243-5344
Phone (205) 834-7135
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632C | Other | AL | THE STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS |
| 6035G | Other | AL | ALABAMA BOARD OF SOCIAL WORK EXAMINERS |
| A12396 | Other | OR | OREGON BOARD OF SOCIAL WORK |
Other names 1
- Taylor Milam
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 |
|---|---|---|---|
| 6035G | AL | MD | Social Worker |
| 5632C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1003521162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 MELISSA WAY",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352435344",
"telephone_number": "205-834-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 CRESTWOOD BLVD",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102611",
"telephone_number": "205-933-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "PATRICK",
"middle_name": "TAYLOR",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-23",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "6035G",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "6035G",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5632C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE STATE OF ALABAMA BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "5632C",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "6035G",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF SOCIAL WORK",
"identifier": "A12396",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "MILAM",
"credential": "LICSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.