Individual provider Active NPI

Nancy Madeline Miller, MSW, LSW

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1275961401
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1500243 Issued in OH
Practice address
264 S Arlington St
Akron, OH 44306-1354
Phone
(330) 379-1856
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I 1500243 OH Primary

Addresses

Primary practice location

264 S Arlington St
Akron, OH 44306-1354

Mailing address

840 Roosevelt Ave
Cuyahoga Falls, OH 44221-2422
Phone (330) 714-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200402003680 OH Practitioner - Clinical Social Worker 8325477961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Churchill Counseling Services, Inc.Group PAC ID 3779532262, 17 clinicians

Practice addresses (Care Compare)

3649 Canfield Rd
Suite 8
Canfield, OH 44406-9385
Phone (330) 270-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 1500243OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Counseling Services, Inc CurrentSince Apr 20, 2024 Accepting new patients
Trumbull Mahoning Medical Group, Inc. PastSince Apr 20, 2024 Accepting new patients

Locations

3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040

4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1275961401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ROOSEVELT AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212422",
            "telephone_number": "330-714-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S ARLINGTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443061354",
            "telephone_number": "330-379-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NANCY",
        "middle_name": "MADELINE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1500243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.