Active NPI
Sharon Miller, LCSW
- Clinical Social Worker
- Clovis, NM
National Provider Identifier
1346634730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2200 Las Palomas Rd
Clovis, NM 88101-4345 - Phone
- (575) 605-6075
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M-08931 | NM | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2200 Las Palomas Rd
Clovis, NM 88101-4345
Mailing address
224 W DL Ingram
Clovis, NM 88103
Phone (575) 784-1108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-09892 | Other | NM | RLD SOCIAL WORK LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08931 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultima Rehab-FL LLC | Past | Accepting new patients | |
| Lynda Gurvitz PHD Inc | Past | Accepting new patients |
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.
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- NPI 1053970194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1346634730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W DL INGRAM",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88103",
"telephone_number": "575-784-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 LAS PALOMAS RD",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014345",
"telephone_number": "575-605-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHARON",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "M-08931",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RLD SOCIAL WORK LICENSE",
"identifier": "C-09892",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.