Robert S Miller, Licsw, Acsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005444 Issued in WA

Legal business name

ROBERT S MILLER, LICSW, ACSW, PLLC

Practice address

275 SE Cabot Dr
Suite B206
Oak Harbor, WA 98277-3715

Phone

(360) 632-5267

Fax

(866) 885-5921

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert Scott Miller, MSWNPI 1477557338

Title

Owner

Phone

(360) 632-5267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Scott Miller, MSW

  • Clinical Social Worker
  • Oak Harbor, WA
  • NPI 1477557338
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1235369323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "SUITE B206",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "360-632-5267",
            "fax_number": "866-885-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "SUITE B206",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "360-632-5267",
            "fax_number": "866-885-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S MILLER, LICSW, ACSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-632-5267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Jon Richter, PHD
• Abby Ries
• Todd Carleton Ritter
• Deborah May Rivera, L.M.P.
• Sierra Linn Roach
• Milan Roberts
• Tessa Robertson
• Jencen Robey, DDS
• Leslie D Rocha-Dunn
• Timmie Rodriguez

• Clinical Social Worker in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.