Phyllis Marie Miner, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

048359 Issued in NY

Practice address

16633 89TH Ave
9C
Jamaica, NY 11432-4255

Phone

(347) 724-2070

NPI assigned

Mar 18, 2017

Last updated

May 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Marie Miner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1275074601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 89TH AVE",
            "address_2": "9C",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324255",
            "telephone_number": "347-724-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 89TH AVE",
            "address_2": "9C",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324255",
            "telephone_number": "347-724-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "PHYLLIS",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "048359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "MINER",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Esmedeline Minaya
• Shaquana Mincey, RN
• Mind View New York Mental Health Counseling PLLC
• Mind-Body and Inner-Self LLC
• Maxine Alycia Miner, M.S., CCC-SLP
• Alma Minguez
• Minor Surgical Center
• Gibran Mir
• Miracle of Healing PC
• Ali Seid Mirhosseini, MD

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.