Active NPI
Kathleen Miller, LSW, PSC
- Community/Behavioral Health Agency
- Altoona, PA
National Provider Identifier
1174838668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW127247
- Legal business name
- KATHLEEN MILLER, LSW, PSC
- Practice address
- Ida Towers Ofc 101012TH
Altoona, PA 16601-3411 - Phone
- (814) 505-4241
- NPI assigned
- Aug 9, 2010
- 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
- Mrs. Kathleen Brighid Miller, LCSW
- Title
- Sole Proprietor
- Phone
- (814) 505-4241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SW127247 | PA | Primary |
Addresses
Primary practice location
Ida Towers Ofc 101012TH
Altoona, PA 16601-3411
Mailing address
120 Evergreen LN
Martinsburg, PA 16662-7059
Phone (814) 505-4241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102394936 0001 | Other | PA | MA NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Altoona, PA
- NPI 1629305958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1174838668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 EVERGREEN LN",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166627059",
"telephone_number": "814-505-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IDA TOWERS OFC 101012TH",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166013411",
"telephone_number": "814-505-4241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN MILLER, LSW, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-09",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "BRIGHID",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "814-505-4241",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "SW127247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA NUMBER",
"identifier": "102394936 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.