Individual provider Active NPI

Jayson Dante Miller, LMSW, MSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1366042111
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105104 Issued in NY
Practice address
180 Livingston St Ste 304
Brooklyn, NY 11201-5861
Phone
(357) 978-6365
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105104 NY Primary

Addresses

Primary practice location

180 Livingston St Ste 304
Brooklyn, NY 11201-5861

Mailing address

356 Marion St FL 3
Brooklyn, NY 11233-2404
Phone (925) 819-1531

Other names 1

  • Julia Rose Dante Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002152 NY Practitioner - Clinical Social Worker 2365898160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105104NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York Foundling CurrentSince Sep 10, 2023 Accepting new patients
The New York Foundling Hospital CurrentSince Sep 10, 2023 Accepting new patients

Locations

170 Brown Pl
Bronx, NY 10454
Phone (212) 206-7140

180 Livingston St
Ste 304
Brooklyn, NY 11201
Phone (357) 978-6365

590 Ave of the Americas
Fl 10
New York, NY 10011

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.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1366042111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MARION ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332404",
            "telephone_number": "925-819-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LIVINGSTON ST STE 304",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015861",
            "telephone_number": "357-978-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAYSON",
        "middle_name": "DANTE",
        "credential": "LMSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "DANTE",
            "middle_name": "ROSE",
            "credential": "BASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.