Active NPI
Elaina Miller
- Clinical Social Worker
- Raytown, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2017003775
- Practice address
- 7001 Blue Ridge Blvd
Raytown, MO 64133-5629 - Phone
- (816) 966-0900
- NPI assigned
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2017003775 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 5062 | KS |
Addresses
Primary practice location
7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Mailing address
7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Phone (816) 966-0900
Other practice location 1
2600 E 12th St
Kansas City, MO 64127-1321
Phone (816) 966-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5062 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediscover | Current | Accepting new patients | |
| Rediscover | Current | Accepting new patients |
Locations
2600 E 12th St
Kansas City, MO 64127
Phone (816) 404-6170
1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069
901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800
7001 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 988-2739
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lee's Summit, MO
- NPI 1841235298
-
- Methadone Clinic
- Kansas City, MO
- NPI 1659749414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1184118804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 BLUE RIDGE BLVD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335629",
"telephone_number": "816-966-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 BLUE RIDGE BLVD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335629",
"telephone_number": "816-966-0900"
}
],
"practiceLocations": [
{
"address_1": "2600 E 12th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641271321",
"country_code": "US",
"telephone_number": "816-966-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ELAINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-16",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2017003775",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "5062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.