Individual provider Active NPI

Naomi Miller, PHD ACSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275672735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR018323 Issued in NY
Practice address
140 Riverside Drive
Suite 1 0
New York, NY 10024-3605
Phone
(212) 296-9766
Fax
(917) 441-0214
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003470 CT
Clinical Social Worker 1041C0700X PR018323 NY Primary

Addresses

Primary practice location

140 Riverside Drive
Suite 1 0
New York, NY 10024-3605

Mailing address

140 Riverside Drive
Suite 1 0
New York, NY 10024-3605
Phone (212) 296-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070801000040 NY Practitioner - Clinical Social Worker 1052402369 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003470CTMDClinical Social Worker
PR018323NYMDClinical Social Worker
018323NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Naledi Physical Therapy PLLC PastSince Aug 1, 2025 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275672735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RIVERSIDE DRIVE",
            "address_2": "SUITE 1 0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243605",
            "telephone_number": "212-296-9766",
            "fax_number": "917-441-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RIVERSIDE DRIVE",
            "address_2": "SUITE 1 0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243605",
            "telephone_number": "212-296-9766",
            "fax_number": "917-441-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "PHD ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003470",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.