Jacquelyn Deborah Miles, MSW, CSAC

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

Hampton VA Medical Ctr
100 Emancipation Dr.
Hampton, VA 23667-0001

Phone

(757) 722-9961

NPI assigned

Oct 12, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1093067241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GREENLAW DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646328",
            "telephone_number": "757-467-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAMPTON VA MEDICAL CTR",
            "address_2": "100 EMANCIPATION DR.",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236670001",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JACQUELYN",
        "middle_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "MSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mie Transformative Solutions LLC
• Randall Bruce Miers, D.C.
• Allen Ray Mikulencak, DDS
• Masoud Milani, D.M.D.
• Marshe Marie Milbourne-Jackson, LPC
• Jennifer Miles, CPO
• Milestones ABA Therapy PLLC
• Armicka Miller
• Avery E Miller
• David Miller, DMD

• Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.