Active NPI
Kristin L Miller, LCSW LLC
- Clinical Social Worker
- Saddle Brook, NJ
National Provider Identifier
1164972261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05290900
- Legal business name
- KRISTIN L MILLER, LCSW LLC
- Practice address
- 444 Market St
Saddle Brook, NJ 07663-5996 - Phone
- (862) 222-6725
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristin L Miller, LCSW
- Title
- Owner/Therapist
- Phone
- (862) 222-6725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05290900 | NJ | Primary |
Addresses
Primary practice location
444 Market St
Saddle Brook, NJ 07663-5996
Mailing address
5 Mews LN
South Orange, NJ 07079-1707
Phone (862) 222-6725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476230400000",
"number": "1164972261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MEWS LN",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791707",
"telephone_number": "862-222-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MARKET ST",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076635996",
"telephone_number": "862-222-6725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTIN L MILLER, LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "862-222-6725",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05290900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saddle Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.