Individual provider Active NPI

Beth Marie Miller, MSW, LCSW

  • Clinical Social Worker
  • Roswell, GA
National Provider Identifier
1235706664
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009342 Issued in GA
Practice address
555 Sun Valley Dr Ste G4
Roswell, GA 30076-5607
Phone
(404) 496-8606
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X CSW009342 GA Primary

Addresses

Primary practice location

555 Sun Valley Dr Ste G4
Roswell, GA 30076-5607

Mailing address

555 Sun Valley Dr Ste G4
Roswell, GA 30076-5607
Phone (404) 496-8606

Other practice location 1

1820 The Exchange SE Ste 550
Atlanta, GA 30339-2088
Phone (404) 496-8606

Other names 1

  • Elizabeth Marie Miller-Bicknell Former name

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
CSW009342GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Feather Mental Health LLC CurrentSince Dec 14, 2025 Accepting new patients
Centerstone of Tennessee, Inc. PastSince Jun 1, 2021 Accepting new patients
Centerstone of Tennessee, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

555 Sun Valley Dr
Ste G4
Roswell, GA 30076
Phone (404) 496-8606

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1235706664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE G4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765607",
            "telephone_number": "404-496-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE G4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765607",
            "telephone_number": "404-496-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 The Exchange SE Ste 550",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392088",
            "country_code": "US",
            "telephone_number": "404-496-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MILLER-BICKNELL",
            "middle_name": "MARIE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.