Active NPI
Malinda M Miller, LICSW
- Clinical Social Worker
- Franklin, WV
National Provider Identifier
1003904996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00943383
- Practice address
- 314 Pine Street
Franklin, WV 26807 - Phone
- (304) 358-2355
- Fax
- (304) 212-7383
- NPI assigned
- Oct 10, 2006
- Last updated
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1851-C | AR | |
| Clinical Social Worker | 1041C0700X | DP00943383 | WV | Primary |
Addresses
Primary practice location
314 Pine Street
Franklin, WV 26807
Mailing address
PO Box 100
Franklin, WV 26807-0100
Phone (304) 358-2355
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1851-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pendleton Community Care, Inc | Past | Accepting new patients | |
| Ozark Guidance Center, Inc | Past | Accepting new patients | |
| Radiological Physician Associates Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6719/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Franklin, WV
- NPI 1447434238
-
- Diagnostic Radiology Physician
- Fairmont, WV
- NPI 1811996960
-
- Family Medicine Physician
- Springdale, AR
- NPI 1659945194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1003904996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "FRANKLIN",
"state": "WV",
"postal_code": "268070100",
"telephone_number": "304-358-2355",
"fax_number": "304-212-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 PINE STREET",
"city": "FRANKLIN",
"state": "WV",
"postal_code": "26807",
"telephone_number": "304-358-2355",
"fax_number": "304-212-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MALINDA",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1851-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00943383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.