Active NPI
Tracy Miller, LMSW
- Social Worker
- Madison, AL
National Provider Identifier
1356030621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2080G
- Practice address
- 140 Castle Dr
Madison, AL 35758-8674 - Phone
- (256) 870-5573
- NPI assigned
- May 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2080G | AL | Primary |
Addresses
Primary practice location
140 Castle Dr
Madison, AL 35758-8674
Mailing address
140 Castle Dr
Madison, AL 35758-8674
Phone (256) 870-5573
Other practice location 1
140 Castle Dr
Madison, AL 35758-8674
Phone (256) 870-5573
Other practice location 2
140 Castle Dr
Madison, AL 35758-8674
Phone (256) 870-5573
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 |
|---|---|---|---|
| 2080G | AL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids to Love | Social Worker | Current | Accepting new patients |
Locations
140 Castle Dr
Madison, AL 35758
Phone (256) 870-5573
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
- Madison, AL
- NPI 1710614284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1356030621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CASTLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588674",
"telephone_number": "256-870-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CASTLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588674",
"telephone_number": "256-870-5573"
}
],
"practiceLocations": [
{
"address_1": "140 Castle Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357588674",
"country_code": "US",
"telephone_number": "256-870-5573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Castle Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357588674",
"country_code": "US",
"telephone_number": "256-870-5573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "TRACY",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "2080G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.