Individual provider Active NPI

Richard Miller-Haraway, L.C.S.W.

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1235261843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001321 Issued in NC
Practice address
715 Nazareth St
Raleigh, NC 27606-2187
Phone
(919) 790-8533
Fax
(919) 790-8836
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C001321 NC Primary

Addresses

Primary practice location

715 Nazareth St
Raleigh, NC 27606-2187

Mailing address

1700 Holt PL
Raleigh, NC 27607-4830
Phone (919) 790-8533

Other identifiers 2

IdentifierTypeStateIssuer
1086WOtherBLUE CROSS BLUE SHIELD
6003608MedicaidNC

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

LicenseStateTypeSpecialty
C001321NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235261843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOLT PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074830",
            "telephone_number": "919-790-8533",
            "fax_number": "919-790-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NAZARETH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062187",
            "telephone_number": "919-790-8533",
            "fax_number": "919-790-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-HARAWAY",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1086W",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.