Active NPI
Amy Katherine Miller
- Clinical Social Worker
- Woodbury, CT
National Provider Identifier
1184138372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005942
- Practice address
- 43 Mill Rd
Woodbury, CT 06798-2414 - Phone
- (203) 405-3241
- NPI assigned
- Nov 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005942 | CT | Primary |
Addresses
Primary practice location
43 Mill Rd
Woodbury, CT 06798-2414
Mailing address
43 Mill Rd
Woodbury, CT 06798-2414
Phone (203) 405-3241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003001346 | CT | Practitioner - Clinical Social Worker | 2769868595 | Practice locations: Woodbury, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43 Mill Rd
Woodbury, CT 06798-2414
Phone 20340532412414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005942 | CT | MD | Clinical Social Worker |
| 5942 | CT | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1184138372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 MILL RD",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067982414",
"telephone_number": "203-405-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 MILL RD",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067982414",
"telephone_number": "203-405-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.