Individual provider Active NPI

Kathryn E Rabin Miller, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1174632038
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35391 Issued in TX
Practice address
22 Parman Place
San Antonio, TX 78230-4138
Phone
(210) 860-7610
Fax
(855) 532-9272
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 35391 TX Primary

Addresses

Primary practice location

22 Parman Place
San Antonio, TX 78230-4138

Mailing address

22 Parman Place
San Antonio, TX 78230-4138
Phone (210) 860-7610

Other identifiers 1

IdentifierTypeStateIssuer
0081MROtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050718000030 TX Practitioner - Clinical Social Worker 8325074776 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Parman PL
San Antonio, TX 78230-4138
Phone (210) 860-7610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1174632038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARMAN PLACE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304138",
            "telephone_number": "210-860-7610",
            "fax_number": "855-532-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARMAN PLACE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304138",
            "telephone_number": "210-860-7610",
            "fax_number": "855-532-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN MILLER",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081MR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.