Organization Active NPI

Regina Miller Social Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kennett Square, PA
National Provider Identifier
1013361070
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
CW015998 Issued in PA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20160518000193 PA Part B Supplier - Clinic/Group Practice 2062701832 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.