Individual provider Active NPI

Laura Miller

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1114394848
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1501177 Issued in OH
Practice address
650 Graham Rd Ste 191
Cuyahoga Falls, OH 44221
Phone
(330) 928-0044
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 I 1501177 OH Primary

Addresses

Primary practice location

650 Graham Rd Ste 191
Cuyahoga Falls, OH 44221

Mailing address

650 Graham Rd Ste 101
Cuyahoga Falls, OH 44221-1051
Phone (330) 928-0044

Other practice location 1

3616 E Main St
Columbus, OH 43213
Phone (614) 251-0103

Other identifiers 1

IdentifierTypeStateIssuer
I1501177MedicaidOH

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

LicenseStateTypeSpecialty
I 1501177OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1114394848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GRAHAM RD STE 101",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211051",
            "telephone_number": "330-928-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRAHAM RD STE 191",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44221",
            "telephone_number": "330-928-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3616 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43213",
            "country_code": "US",
            "telephone_number": "614-251-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1501177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I1501177",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.