Active NPI
Tanya Miko, MSW
- Social Worker
- Waterbury, CT
National Provider Identifier
1295001063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2152
- Practice address
- 52 Pine St
Waterbury, CT 06710-2169 - Phone
- (203) 756-7284
- Fax
- (203) 596-2789
- NPI assigned
- Mar 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 2152 | CT | Primary |
Addresses
Primary practice location
52 Pine St
Waterbury, CT 06710-2169
Mailing address
52 Pine St
Waterbury, CT 06710-2169
Phone (203) 756-7284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2152 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1295001063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 PINE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102169",
"telephone_number": "203-756-7284",
"fax_number": "203-596-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 PINE ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067102169",
"telephone_number": "203-756-7284",
"fax_number": "203-596-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKO",
"first_name": "TANYA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "2152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.