Active NPI
Vaun Miller
- Clinical Social Worker
- Walla Walla, WA
National Provider Identifier
1215306113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60273918
- Practice address
- 534 S 3Rd Ave
Suite 16
Walla Walla, WA 99362-3177 - Phone
- (509) 525-0704
- Fax
- (509) 529-4004
- NPI assigned
- Sep 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 | LW60273918 | WA | Primary |
Addresses
Primary practice location
534 S 3Rd Ave
Suite 16
Walla Walla, WA 99362-3177
Mailing address
16 SE 11TH Ave
Milton Freewater, OR 97862-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60273918 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health Options | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Walla Walla, WA
- NPI 1720313026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1215306113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SE 11TH AVE",
"city": "MILTON FREEWATER",
"state": "OR",
"postal_code": "978621115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 S 3RD AVE",
"address_2": "SUITE 16",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623177",
"telephone_number": "509-525-0704",
"fax_number": "509-529-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "VAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60273918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.