Joseph Maylen Miller, MSW DCSW LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0164 Issued in KS

Practice address

1411 W 4TH St
Family Consultation Services Ste C
Coffeyville, KS 67337-3300

Phone

(620) 251-6967

Fax

(620) 251-6967

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Joe M Miller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154544708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 4TH ST",
            "address_2": "FAMILY CONSULTATION SERVICES STE C",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373300",
            "telephone_number": "620-251-6967",
            "fax_number": "620-251-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 4TH ST",
            "address_2": "FAMILY CONSULTATION SERVICES STE C",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373300",
            "telephone_number": "620-251-6967",
            "fax_number": "620-251-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "MAYLEN",
        "name_prefix": "Mr.",
        "credential": "MSW DCSW LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "0164",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1686",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "MILLER",
            "middle_name": "M",
            "prefix": "MR.",
            "credential": "MSW DCSW LSCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Medicalodges, Inc.
• Medicalodges, Inc. (Medicalodges Coffeyville)
• Shaun Lanceine Meek, LCMFT
• Diane Mendoza
• Kerry Louise Mersberg, DC CPED
• Tiffany Renae Miller, PHARMD
• ML-Op Coffeyville LLC
• Lydia Morgan
• Dana E Morton, ARNP
• Julia Dawn Moses, CRNA

• Clinical Social Worker in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.