Active NPI
Nan Irene Miller, LCSW
- Social Worker
- Delray Beach, FL
National Provider Identifier
1144351552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801101509
- Practice address
- 82 Monaco B
Delray Beach, FL 33446-1903 - Phone
- (248) 339-6548
- NPI assigned
- Mar 8, 2007
- Last updated
- Sep 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101509 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 21204 | FL | |
| Clinical Social Worker | 1041C0700X | R-041170-1 | NY |
Addresses
Primary practice location
82 Monaco B
Delray Beach, FL 33446-1903
Mailing address
82 Monaco B
Delray Beach, FL 33446-1903
Phone (248) 339-6548
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101509 | MI | MD | Social Worker |
| 21204 | FL | MD | Clinical Social Worker |
| R-041170-1 | NY | MD | Clinical Social Worker |
| 041170 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westbury Therapeutic Medical Services PC | Past | Accepting new patients | |
| Choices Women's Medical Center, Inc. | Past | Accepting new patients | |
| Downriver Mental Health Clinic PC | Clinical | Past | Accepting new patients |
| Long Island Consultation Center, Inc. | Clinical | Past | Accepting new patients |
| Long Island Consultation Center | Past | Accepting new patients | |
| Shine Medical PC | Past | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients | |
| Irene G Gurvits, MD, PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
- lifestancehealth.nanmiller@150339.advancedmd-direct.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Jamaica, NY
- NPI 1194832949
-
dba Lifestance Health, Inc
- Psychologist
- Taylor, MI
- NPI 1295866135
Clinical
-
- Counselor
- Elmhurst, NY
- NPI 1356016703
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
-
- Psychiatry Physician
- New York, NY
- NPI 1427783950
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
-
- Child & Adolescent Psychiatry Physician
- Westbury, NY
- NPI 1114152915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1144351552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MONACO B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334461903",
"telephone_number": "248-339-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MONACO B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334461903",
"telephone_number": "248-339-6548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NAN",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101509",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "21204",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-041170-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.