Jennifer Miller, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113746 Issued in MA

Practice address

100 North Pkwy Ste 202
Worcester, MA 01605-1349

Phone

(857) 289-9082

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Commonwealth Care Alliance

  • Health Maintenance Organization
  • Charlestown, MA
  • NPI 1922460104
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1194208314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MOUNT WAYTE AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025803",
            "telephone_number": "857-289-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH PKWY STE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051349",
            "telephone_number": "857-289-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Main St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "MA",
            "postal_code": "021291101",
            "country_code": "US",
            "telephone_number": "857-289-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jemiller@commonwealthcare.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 North Pkwy Ste 202",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016051349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin F Miller IV, PSYD
• Chantara Miller
• Daniel Miller, M.D.
• Holly Deanna Miller, DNP, APRN, CRNA
• James Miller
• Julie Miller
• Kelvin Lewis Miller, PMHNP
• Kenneth B Miller, MD
• Lamar Derrick Miller
• Lisa Miller

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.