Individual provider Active NPI

Joie Ann Miletich, LICSW

  • Clinical Social Worker
  • Cloquet, MN
National Provider Identifier
1154597581
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16849 Issued in MN
Practice address
118 Avenue C
Cloquet, MN 55720-1546
Phone
(218) 878-9352
Fax
(218) 878-9342
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 16849 MN Primary

Addresses

Primary practice location

118 Avenue C
Cloquet, MN 55720-1546

Mailing address

118 Avenue C
Cloquet, MN 55720-1546
Phone (218) 878-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100202000261 MN Practitioner - Clinical Social Worker 5597808378 Practice locations: Cloquet, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16849MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joie Ann Miletich Clinical CurrentSince Nov 1, 2012 Accepting new patients
Compass Rose Counseling and Wellness, LLC PastSince Apr 10, 2022 Accepting new patients

Organizations & group practices 2

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1154597581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546",
            "telephone_number": "218-878-9352",
            "fax_number": "218-878-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201546",
            "telephone_number": "218-878-9352",
            "fax_number": "218-878-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETICH",
        "first_name": "JOIE",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.