Millie S. Kelleher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002536 Issued in GA

Legal business name

MILLIE S. KELLEHER, LCSW

Practice address

1090 Founders Blvd
Suite B
Athens, GA 30606-6163

Phone

(706) 548-8697

Fax

(706) 548-8698

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Mason

Title

Business Manager

Phone

(706) 548-8697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1104254598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 FOUNDERS BLVD",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066163",
            "telephone_number": "706-548-8697",
            "fax_number": "706-548-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 FOUNDERS BLVD",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066163",
            "telephone_number": "706-548-8697",
            "fax_number": "706-548-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE S. KELLEHER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "706-548-8697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Miller, CRNA
• Lloyd Stephen Miller, PH.D.
• Scott Edward Miller, PH.D.
• Thomas Lance Miller, PHARMD
• Toni-Ann Miller, MD
• Abigail Serwaa Mills-Annoh, M.D.
• Jenna Mills, RN
• Mark Gregory Mills, O.D.
• Cyril Mina
• Mindful Living Center - Georgia LLC

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.