Individual provider Active NPI

Pamela Nann Miller, LCSW

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1134446800
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-2900 Issued in AZ
Practice address
1800 W Elliot Rd
#143
Chandler, AZ 85224-8824
Phone
(480) 345-3977
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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 LCSW-2900 AZ Primary

Addresses

Primary practice location

1800 W Elliot Rd
#143
Chandler, AZ 85224-8824

Mailing address

1800 W Elliot Rd
#143
Chandler, AZ 85224-8824
Phone (480) 345-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121213000273 AZ Practitioner - Clinical Social Worker 8123270428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Wisermind LLCGroup PAC ID 2365626017, 3 clinicians

Practice addresses (Care Compare)

20343 N Hayden Rd
105 446
Scottsdale, AZ 85255-3876
Phone (602) 930-8462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Wisermind LLC CurrentSince Nov 3, 2012 Accepting new patients

Locations

20343 N Hayden Rd
#105446
Scottsdale, AZ 85255
Phone (602) 930-8462

6000 E Evans Ave
Ste 1-341
Denver, CO 80222
Phone (303) 946-5003

6000 E Evans Ave
Ste 3-100
Denver, CO 80222
Phone (720) 940-8531

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1134446800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W ELLIOT RD",
            "address_2": "#143",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248824",
            "telephone_number": "480-345-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W ELLIOT RD",
            "address_2": "#143",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852248824",
            "telephone_number": "480-345-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAMELA",
        "middle_name": "NANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-2900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.