Active NPI
Marilyn M Miller, ISW
- Clinical Social Worker
- Aventura, FL
National Provider Identifier
1124082425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW2611
- Practice address
- 18999 Biscayne Blvd
Suite 200
Aventura, FL 33180-2814 - Phone
- (305) 933-9820
- Fax
- (305) 933-9843
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW2611 | FL | Primary |
Addresses
Primary practice location
18999 Biscayne Blvd
Suite 200
Aventura, FL 33180-2814
Mailing address
735 NE 125TH St
North Miami, FL 33161-5611
Phone (305) 899-1587
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW2611 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Community Services of S FL | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1548310295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1124082425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615611",
"telephone_number": "305-899-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18999 BISCAYNE BLVD",
"address_2": "SUITE 200",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802814",
"telephone_number": "305-933-9820",
"fax_number": "305-933-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARILYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "ISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW2611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.