Active NPI
Megan Rebecca Miller, LCSW
- Clinical Social Worker
- North Little Rock, AR
National Provider Identifier
1104070697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2308-C
- Practice address
- 21 Bridgeway Rd
North Little Rock, AR 72113-9514 - Phone
- (501) 771-8502
- Fax
- (501) 771-8511
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1981-M | AR | |
| Clinical Social Worker | 1041C0700X | 2308-C | AR | Primary |
Addresses
Primary practice location
21 Bridgeway Rd
North Little Rock, AR 72113-9514
Mailing address
21 Bridgeway Rd
North Little Rock, AR 72113-9514
Phone (501) 771-8502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172039795 | Medicaid | AR |
Other names 1
- Ms. Megan Rebecca Hicks
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1981-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1104070697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BRIDGEWAY RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721139514",
"telephone_number": "501-771-8502",
"fax_number": "501-771-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BRIDGEWAY RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721139514",
"telephone_number": "501-771-8502",
"fax_number": "501-771-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MEGAN",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "1981-M",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2308-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172039795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HICKS",
"middle_name": "REBECCA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.