Philip Edward Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6026 Issued in NC

Practice address

2 Rubin Dr
Rushville, NY 14544-9681

Phone

(585) 554-4400

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ilion, NY
  • NPI 1528428208
  Medicare reassignment NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1336984178
  NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1912225236
  NPD

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1235124702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WASHINGTON ST STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141134",
            "telephone_number": "585-325-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RUBIN DR",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449681",
            "telephone_number": "585-554-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHILIP",
        "middle_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "6026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Maggio
• Marcus Whitman Central School District
• Kayleigh Elisabeth Marriott, R.D.H
• Tammy M Matson
• Benjamin Meath, MD
• Monroe Avenue Pharmacy Inc
• Jane Margaret Morris, R.D.H.
• Mosaic Health Inc
• Mosaic Health, Inc.
• Mosaic Health, Inc.

• Clinical Social Worker in Rushville, NY
• Providers in Rushville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.

Verify at the official NPI Registry.