Theresa M Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005443 Issued in NC

Practice address

1000 N 1St St
Suite 1
Albemarle, NC 28001-2833

Phone

(704) 983-2117

Fax

(704) 983-2636

NPI assigned

Feb 7, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1316087414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 1ST ST",
            "address_2": "SUITE 1",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280012833",
            "telephone_number": "704-983-2117",
            "fax_number": "704-983-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106568",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C005443",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Merrick, LCMHCA
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• Midcarolina ENT
• Midstate Diabetic Supply
• Ashley Schenk Miller, LPCA
• Benjamin Neal Millsap, MSW, LCSW, LCAS, CCS
• Yun Jae Min
• Morris Sheppard Minton, M,D,
• Monarch
• Monarch

• Clinical Social Worker in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.