Individual provider Active NPI

Tricia Ranae Miller, MSW, LCSW

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1104062645
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
603 Issued in WY
Practice address
815 S Center St
Casper, WY 82601-3730
Phone
(307) 333-1301
Fax
(307) 333-5436
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 603 WY Primary

Addresses

Primary practice location

815 S Center St
Casper, WY 82601-3730

Mailing address

815 S Center St
Casper, WY 82601-3730
Phone (307) 333-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001229 WY Practitioner - Clinical Social Worker 0143541581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Ridge Child and Family CounselingGroup PAC ID 9335427376, 2 clinicians

Practice addresses (Care Compare)

2345 E 2ND St
Casper, WY 82609-2048
Phone (307) 258-6755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
603WYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Child and Family Counseling Clinical CurrentSince Aug 21, 2016 Accepting new patients

Locations

815 S Center St
Casper, WY 82601
Phone (307) 333-1301

800 Werner Ct
Ste 200
Casper, WY 82601
Phone (307) 333-1301

2345 E 2nd St
Casper, WY 82609
Phone (307) 233-2200

2510 E 15th St
Ste 11
Casper, WY 82609
Phone (307) 234-9979

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1104062645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S CENTER ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013730",
            "telephone_number": "307-333-1301",
            "fax_number": "307-333-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S CENTER ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013730",
            "telephone_number": "307-333-1301",
            "fax_number": "307-333-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRICIA",
        "middle_name": "RANAE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.