Individual provider Active NPI

Anita Miller, LMSW

  • Social Worker
  • Dix Hills, NY
National Provider Identifier
1386019586
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091700 Issued in NY
Practice address
151 Burrs LN
Dix Hills, NY 11746-6052
Phone
(631) 253-3480
Fax
(631) 253-3483
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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 091700 NY Primary

Addresses

Primary practice location

151 Burrs LN
Dix Hills, NY 11746-6052

Mailing address

151 Burrs LN
Dix Hills, NY 11746-6052
Phone (631) 253-3480

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
I20230512000740 NY Practitioner - Clinical Social Worker 9234595406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sco Family of ServicesGroup PAC ID 1850283722, 4 clinicians
Visiting Counselors of New York, LCSW, PLLCGroup PAC ID 4688932106, 26 clinicians

Practice addresses (Care Compare)

151 Burrs LN
Dix Hills, NY 11746-6052
Phone (631) 213-0146

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091700NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors of New York, LCSW, PLLC CurrentSince Mar 22, 2023 Accepting new patients
Sco Family of Services Dba Madonna Heights Service Clinic CurrentSince Apr 22, 2024 Accepting new patients
Comprehensive Counseling LCSW, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

151 Burrs Ln
Dix Hills, NY 11746
Phone (631) 213-0146

1415 Kellum Pl
Ste 140
Garden City, NY 11530
Phone (516) 671-1253

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 3

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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1386019586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BURRS LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466052",
            "telephone_number": "631-253-3480",
            "fax_number": "631-253-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BURRS LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466052",
            "telephone_number": "631-253-3480",
            "fax_number": "631-253-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANITA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.