Active NPI
Richard Miller
- Clinical Social Worker
- Lumberton, NC
National Provider Identifier
1295315646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO15157
- Practice address
- 2501 E Elizabethtown Rd
Lumberton, NC 28358-3225 - Phone
- (910) 738-7880
- NPI assigned
- Apr 10, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC-23084 | NC | |
| Clinical Social Worker | 1041C0700X | PO15157 | NC | Primary |
Addresses
Primary practice location
2501 E Elizabethtown Rd
Lumberton, NC 28358-3225
Mailing address
4410 Timber Grove Dr
Hope Mills, NC 28348-8062
Phone (912) 980-6730
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 |
|---|---|---|---|
| CADC-23084 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| PO15157 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milshep Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Hope Mills, NC
- NPI 1427886902
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1295315646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 TIMBER GROVE DR",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283488062",
"telephone_number": "912-980-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E ELIZABETHTOWN RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583225",
"telephone_number": "910-738-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-10",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CADC-23084",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO15157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.