Individual provider Active NPI

Michelle Miller

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1386423549
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014191 Issued in VA
Practice address
1001 E Marshall St
Richmond, VA 23298-5075
Phone
(804) 828-9111
NPI assigned
Sep 27, 2023
Last updated
Mar 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014191 VA Primary

Addresses

Primary practice location

1001 E Marshall St
Richmond, VA 23298-5075

Mailing address

1001 E Marshall St
Richmond, VA 23298-5075
Phone (804) 828-9111

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

LicenseStateTypeSpecialty
0904014191VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Oct 1, 2023 Accepting new patients

Locations

1001 E Marshall St
Richmond, VA 23298
Phone (804) 828-0099

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1386423549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985075",
            "telephone_number": "804-828-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985075",
            "telephone_number": "804-828-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.