Individual provider Active NPI

Caitlin Renee Miller, LSW

  • Social Worker
  • Everett, PA
National Provider Identifier
1104433929
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW134836 Issued in PA
Practice address
185 Hospital Dr
Everett, PA 15537-7018
Phone
(814) 623-1212
Fax
(814) 285-3023
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134836 PA Primary

Addresses

Primary practice location

185 Hospital Dr
Everett, PA 15537-7018

Mailing address

185 Hospital Dr
Everett, PA 15537-7018
Phone (814) 623-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

602 1St Ave
Duncansville, PA 16635-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134836PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Resource Program, Inc. CurrentSince Jul 24, 2022 Accepting new patients
Alternative Community Resource Program, Inc. CurrentSince Sep 27, 2020 Accepting new patients

Locations

185 Hospital Dr
Everett, PA 15537
Phone (814) 623-1212

Organizations & group practices 2

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1104433929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377018",
            "telephone_number": "814-623-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377018",
            "telephone_number": "814-623-1212",
            "fax_number": "814-285-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAITLIN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.