Individual provider Active NPI

Vanessa Miller

  • Social Worker
  • Elmira, NY
National Provider Identifier
1174843502
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00081632 Issued in NY
Practice address
1019 E Water St
Elmira, NY 14901-3332
Phone
(607) 733-5696
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00081632 NY Primary
Social Worker 104100000X 00082248 NY

Addresses

Primary practice location

1019 E Water St
Elmira, NY 14901-3332

Mailing address

1019 E Water St
Elmira, NY 14901-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140617000069 NY Practitioner - Clinical Social Worker 7517181423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Pathways, Inc.Group PAC ID 7416329008, 18 clinicians

Practice addresses (Care Compare)

311 W Water St
Elmira, NY 14901-2914
Phone (607) 936-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00081632NYMDSocial Worker
00082248NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Psychiatric NP PLLC CurrentSince Mar 24, 2024 Accepting new patients
Pathways, Inc. Social Worker CurrentSince Dec 1, 2015 Accepting new patients

Locations

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

77 E 1st St
Corning, NY 14830
Phone (607) 936-1771

311 W Water St
Elmira, NY 14901
Phone (607) 733-0660

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1174843502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013332",
            "telephone_number": "607-733-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00081632",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00082248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.