Joseph Maylen Miller, MSW DCSW LSCSW
Individual provider Active NPI Clinical Social Worker · Coffeyville, KS
NPI 1154544708 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154544708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0164 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0164 | KS | MD | Clinical Social Worker |
| 20704 | TX | MD | Clinical Social Worker |
| 1686 | OK | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0164 | KS | Yes |
| Clinical Social Worker | 1041C0700X | 1686 | OK | |
| Clinical Social Worker | 1041C0700X | 20704 | TX |
Addresses
Primary practice location
1411 W 4TH St
Family Consultation Services Ste C
Coffeyville, KS 67337-3300
Mailing address
1411 W 4TH St
Family Consultation Services Ste C
Coffeyville, KS 67337-3300
Phone (620) 251-6967
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000011148 | Other | KS | BCBS |
Other names
- Mr. Joe M Miller
Other providers in Coffeyville, KS
- Medicalodges, Inc.
- Medicalodges, Inc.
- Shaun Lanceine Meek
- Diane Mendoza
- Kerry Louise Mersberg
- Tiffany Renae Miller
- ML-Op Coffeyville LLC
- Lydia Morgan
- Dana E Morton
- Julia Dawn Moses
All providers in Coffeyville, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.