Sophie E Bloch Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7130 Issued in OR

Practice address

227 W 13TH Ave Ste 104
Eugene, OR 97401-3675

Phone

(541) 554-6743

Fax

(971) 266-4452

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grow Wild Therapy Center, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1326837808
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1174958631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W 13TH AVE STE 104",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013675",
            "telephone_number": "541-554-6743",
            "fax_number": "971-226-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 13TH AVE STE 104",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013675",
            "telephone_number": "541-554-6743",
            "fax_number": "971-266-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCH MILLER",
        "first_name": "SOPHIE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7130",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60392149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubaldo G Blasquez Castro, CSFA
• William Benjamin Bleazard, DPT
• Leslie Ann Bletscher, REGISTERED ASSOCIATE
• Belinda Sue Bliss, LMFT
• James Morgan Blizzard
• Kari Lynette Blochlinger, PSS
• Sierra Blomquist
• Shelby Blondeaux, RN
• Janelle Christine Blondin, RDH
• Bloom Health and Wellness Promotion

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.