Individual provider Active NPI

Nan Irene Miller, LCSW

  • Social Worker
  • Delray Beach, FL
National Provider Identifier
1144351552
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801101509 Issued in MI
Practice address
82 Monaco B
Delray Beach, FL 33446-1903
Phone
(248) 339-6548
NPI assigned
Mar 8, 2007
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101509MIMDSocial Worker
21204FLMDClinical Social Worker
R-041170-1NYMDClinical Social Worker
041170NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Sep 2, 2003 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 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

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.