Active NPI
Malinda Delores Hargrove-Miller, LCSW, CSAC
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1093992307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005467
- Practice address
- 3127 Glenan Dr
Richmond, VA 23234-2031 - Phone
- (804) 233-2831
- Fax
- (804) 233-2831
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000989 | VA | |
| Clinical Social Worker | 1041C0700X | 0904005467 | VA | Primary |
Addresses
Primary practice location
3127 Glenan Dr
Richmond, VA 23234-2031
Mailing address
3127 Glenan Dr
Richmond, VA 23234-2031
Phone (804) 233-2831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710000989 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0904005467 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1093992307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 GLENAN DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232342031",
"telephone_number": "804-233-2831",
"fax_number": "804-233-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 GLENAN DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232342031",
"telephone_number": "804-233-2831",
"fax_number": "804-233-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE-MILLER",
"first_name": "MALINDA",
"middle_name": "DELORES",
"name_prefix": "Mrs.",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000989",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.