Organization Active NPI

Carol Miller LCSW, L.L.C.

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1043618085
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAROL MILLER LCSW, L.L.C.
Practice address
9951 Atlantic Blvd Ste 263
Jacksonville, FL 32225-6589
Phone
(904) 673-8237
Fax
(904) 564-2507
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Carol Miller, LCSW
Title
Therapist/Owner
Phone
(904) 673-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9951 Atlantic Blvd Ste 263
Jacksonville, FL 32225-6589

Mailing address

11812 Valley Garden Dr
Jacksonville, FL 32225-1666
Phone (904) 673-8237

National Provider Directory

National Provider Directory

Locations

9951 Atlantic Blvd
Ste 263
Jacksonville, FL 32225
Phone (904) 673-8237

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1043618085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 VALLEY GARDEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251666",
            "telephone_number": "904-673-8237",
            "fax_number": "904-564-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 263",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256589",
            "telephone_number": "904-673-8237",
            "fax_number": "904-564-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL MILLER LCSW, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "904-673-8237",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.