Chad Miller, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13988 Issued in SC

Practice address

121 Stonehurst Dr
Goose Creek, SC 29445-7042

Phone

(864) 621-2391

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• To the Stars Counseling, LLC

  • Clinical Social Worker
  • Goose Creek, SC
  • NPI 1639946759
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1073271094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STONEHURST DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457042",
            "telephone_number": "864-621-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STONEHURST DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457042",
            "telephone_number": "864-621-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Joyce Merrick, M.D.
• Lynn Merrill, OTR/L
• Steven Arthur Metzgar
• Michael G Regan (Michael Regan)
• Joyce Addelyn Middleton
• Marshall Vernon Miller, DDS
• Sarah Miller, DPT
• Michael Mark Milligan, PHARMD
• Evan Alexander Mills
• Anne E Miracle, LPC

• Clinical Social Worker in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.