Stephanie Collins Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09928394 Issued in CO

Practice address

112 N 3Rd St Ste 3
Kremmling, CO 80459-5059

Phone

(970) 306-7537

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1316665235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "PARSHALL",
            "state": "CO",
            "postal_code": "804680333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 3RD ST STE 3",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "804595059",
            "telephone_number": "970-306-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kremmling Memorial Hospital District (Middle Park Medical Center, Kremmling)
• Kremmling Mercantile LLC (Kremmling Mercantile)
• Michelle Victoria Licha, CMT
• Kellie Logue, CRNA
• Michelle Lee Lupica, D.O.
• Meghan Rochelle Mont, D.O.
• Shannon Moreland, PTA
• Todd Odegaard
• Mark McClure Paulsen, M.D.
• Rebecca R Pearson, CCC-SLP

• Clinical Social Worker in Kremmling, CO
• Providers in Kremmling, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.