Carole L Miller, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10806 Issued in MD

Practice address

9780 Patuxent Woods Dr
Columbia, MD 21046-1526

Phone

(410) 313-1764

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carolemiller@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1063546950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SHAKER DRIVE",
            "address_2": "SUITE 326",
            "city": "SIMPSONVILLE",
            "state": "MD",
            "postal_code": "21150",
            "telephone_number": "443-545-1611",
            "fax_number": "443-632-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 PATUXENT WOODS DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461526",
            "telephone_number": "410-313-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Shaker Drive",
            "address_2": "Suite 326",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "MD",
            "postal_code": "211507514",
            "country_code": "US",
            "telephone_number": "443-525-1611",
            "fax_number": "443-632-3946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1018 Beards Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MD",
            "postal_code": "210012230",
            "country_code": "US",
            "telephone_number": "443-291-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW - BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "15448",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417680400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynne Miller, LCSW-C
• Angela Miller, FNP
• Ann Marie Miller
• Brandi Miller, LMSW
• Bria Miller
• Catherine A Miller
• Christine Thompson Miller, DPT
• Christopher Miller, RN
• Daniel Miller, LCPC
• Debby R Miller, AU.D.

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.