Organization Active NPI

Melanie a Miller Lscsw LLC

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1255838900
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW2157 Issued in KS
Legal business name
MELANIE A MILLER LSCSW LLC
Practice address
1900 N Amidon Ave Ste 207
Wichita, KS 67203-2140
Phone
(316) 288-0090
NPI assigned
Apr 10, 2018
Last updated
Apr 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Melanie A. Miller Garrett, LSCSW
Title
Therapist/Owner
Phone
(316) 288-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LSCSW2157 KS Primary

Addresses

Primary practice location

1900 N Amidon Ave Ste 207
Wichita, KS 67203-2140

Mailing address

224 E 2ND St
Newton, KS 67114-3404
Phone (316) 288-0090

Other identifiers 1

IdentifierTypeStateIssuer
069800OtherKSBLUE CROSS BLUE SHIELD OF KANSAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412002065 KS Part B Supplier - Clinic/Group Practice 3577826171 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, KS

National Provider Directory

National Provider Directory

Locations

1900 N Amidon Ave
Ste 207
Wichita, KS 67203
Phone (316) 288-0090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1255838900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E 2ND ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143404",
            "telephone_number": "316-288-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AMIDON AVE STE 207",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032140",
            "telephone_number": "316-288-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE A MILLER LSCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER GARRETT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "316-288-0090",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS",
            "identifier": "069800",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.