Active NPI
Paul Andrew Wendell Milus, LCSW/MSW
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1093808859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS22735
- Practice address
- 3333 Chanate Rd
Santa Rosa, CA 95404-1707 - Phone
- (707) 565-4900
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS22735 | CA | Primary |
Addresses
Primary practice location
3333 Chanate Rd
Santa Rosa, CA 95404-1707
Mailing address
3333 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 565-4900
Other names 1
- Mr. Drew Milus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
3569 Round Barn Cir
Santa Rosa, CA 95403
Organizations & group practices 4
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.
-
dba Vista Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1578631172
-
dba Caritas Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1467180430
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1609925957
-
dba Bridge Health Services
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1518345511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1093808859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-565-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-565-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILUS",
"first_name": "PAUL ANDREW",
"middle_name": "WENDELL",
"name_prefix": "Mr.",
"credential": "LCSW/MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS22735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DREW",
"last_name": "MILUS",
"prefix": "MR.",
"credential": "LCSW/MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.