Active NPI
Larry Eugene Miller, MSW
- Clinical Social Worker
- Saipan, MP
National Provider Identifier
1164526752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R022061-01
- Practice address
- MH II Building, Marina Heights Business Park
Suite 206
Saipan, MP 96950 - Phone
- (670) 322-0035
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R022061-01 | NY | Primary |
Addresses
Primary practice location
MH II Building, Marina Heights Business Park
Suite 206
Saipan, MP 96950
Mailing address
PO Box 500938
Saipan, MP 96950-0938
Phone (670) 322-0035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R022061-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1164526752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500938",
"city": "SAIPAN",
"state": "MP",
"postal_code": "969500938",
"telephone_number": "670-322-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MH II BUILDING, MARINA HEIGHTS BUSINESS PARK",
"address_2": "SUITE 206",
"city": "SAIPAN",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-322-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LARRY",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2022-11-02",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R022061-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saipan, MP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.