Donna Miller-Carroll, LPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001558 Issued in NC

Practice address

5239 Mawood St
Fayetteville, NC 28314-1412

Phone

(910) 263-7238

Fax

(910) 487-6268

NPI assigned

Jan 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1386821965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 MAWOOD ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141412",
            "telephone_number": "910-263-7238",
            "fax_number": "910-487-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 MAWOOD ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141412",
            "telephone_number": "910-263-7238",
            "fax_number": "910-487-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-CARROLL",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3836",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles 2 Wisdom LLC
• Shamonique Miles
• Milestones Over Fayetteville LLC
• Marissa Millard
• Millennium Consulting, LLC
• Amy Miller, DPT
• Andrea Brittany Miller
• Anna Miller, FNP-C
• Anno Miller
• Delilah Myoni Xaviona Miller

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.