Individual provider Active NPI

Nanci K Miller, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1013106012
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2007025034 Issued in MO
Practice address
12141 Ladue Rd
Saint Louis, MO 63141-8120
Phone
(314) 878-4340
Fax
(314) 878-4524
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2007025034 MO Primary

Addresses

Primary practice location

12141 Ladue Rd
Saint Louis, MO 63141-8120

Mailing address

12141 Ladue Rd
Saint Louis, MO 63141-8120
Phone (314) 878-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000870 MO Practitioner - Clinical Social Worker 2466694450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9666 Olive Blvd
Suite 370
Olivette, MO 63132-3025
Phone (314) 626-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007025034MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nanci Miller Counseling LLC Clinical CurrentSince Dec 22, 2023 Accepting new patients
Open Arms Mental Health Therapy LLC CurrentSince Jan 14, 2024 Accepting new patients
Open Arms Wellness LLC CurrentSince Jan 20, 2022 Accepting new patients

Locations

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

9666 Olive Blvd
Ste 370
Saint Louis, MO 63132
Phone (314) 626-5088

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1013106012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418120",
            "telephone_number": "314-878-4340",
            "fax_number": "314-878-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418120",
            "telephone_number": "314-878-4340",
            "fax_number": "314-878-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NANCI",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007025034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.