Colleen Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007944A Issued in IN

Practice address

1613 E 8TH St Ste 214
Jeffersonville, IN 47130-4749

Phone

(812) 258-0310

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen Meersman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215474929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 E 8TH ST STE 214",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304749",
            "telephone_number": "812-258-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Rivers Run Way",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378309004",
            "country_code": "US",
            "telephone_number": "865-250-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007944A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MEERSMAN",
            "credential": "MSSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy L Miller, APRN
• Brooke Ann Miller, APRN
• Bryn Sue Miller, FNP-C
• Christi S Miller, PT, OCS
• Christian Michael Miller
• McKinley Miller, RBT
• Stephen Douglas Miller, O.D.
• Elizabeth A Mills, APRN
• Roxie Dimple Miner, LCSW
• Susan Minton, MSSW

• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.