Active NPI
Regina Miller Social Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kennett Square, PA
National Provider Identifier
1013361070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- CW015998
- Legal business name
- REGINA MILLER SOCIAL SERVICES LLC
- Practice address
- 110 E State St
Kennett Square, PA 19348-3100 - Phone
- (610) 331-8371
- NPI assigned
- Apr 15, 2016
- Last updated
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Regina Marie Miller, LCSW
- Title
- Owner
- Phone
- (610) 331-8371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | CW015998 | PA | Primary |
Addresses
Primary practice location
110 E State St
Kennett Square, PA 19348-3100
Mailing address
1108 Sherbrook Dr
West Chester, PA 19382-8069
Phone (484) 614-9474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
110 E State St
Kennett Square, PA 19348
Phone (610) 331-8371
110 E State St
Ste 3
Kennett Square, PA 19348
Phone (610) 331-8371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- West Chester, PA
- NPI 1942617618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1013361070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 SHERBROOK DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828069",
"telephone_number": "484-614-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483100",
"telephone_number": "610-331-8371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINA MILLER SOCIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-15",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-331-8371",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": "CW015998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.