Individual provider Active NPI

Samantha Lashay Miller, LMSW

  • Social Worker
  • Decatur, AL
National Provider Identifier
1265917470
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4136G Issued in AL
Practice address
1608 4TH Ave SE
Decatur, AL 35601-4904
Phone
(256) 340-9233
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4136G AL Primary

Addresses

Primary practice location

1608 4TH Ave SE
Decatur, AL 35601-4904

Mailing address

1608 4TH Ave SE
Decatur, AL 35601-4904
Phone (256) 340-9233

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240104003824 AL Practitioner - Clinical Social Worker 1254782188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4136GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services, LLC CurrentSince Nov 11, 2024 Accepting new patients
Family Support Services LLC PastSince Nov 11, 2024 Accepting new patients

Locations

1608 4th Ave SE
Decatur, AL 35601
Phone (256) 340-9233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1265917470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "256-340-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 4TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014904",
            "telephone_number": "256-340-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMANTHA",
        "middle_name": "LASHAY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4136G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.