Individual provider Active NPI

Carrie Anne Nancy Milham, LCSW-R

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1396158374
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087166 Issued in NY
Practice address
1023 Ny RT 146
Clifton Park, NY 12065-1206
Phone
(518) 810-7028
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 087166 NY Primary

Addresses

Primary practice location

1023 Ny RT 146
Clifton Park, NY 12065-1206

Mailing address

1023 Route 146
Clifton Park, NY 12065-3644
Phone (518) 810-7028

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
I20181204002996 NY Practitioner - Clinical Social Worker 4183968019 Reassigns benefits to 1 organization
Practice locations: Clifton Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1023 Ny
Suite 146
Clifton Park, NY 12065
Phone (518) 810-7028

1023 Route 146
Clifton Park, NY 12065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Anne Milham Licensed Clinical Social Worker P.C. Clinical CurrentSince May 16, 2020 Accepting new patients
Ellis Hospital CurrentSince Oct 14, 2018 Accepting new patients

Locations

1023 Route 146
Clifton Park, NY 12065
Phone (518) 810-7028

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1023 State St
Schenectady, NY 12307
Phone (518) 243-3300

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1396158374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653644",
            "telephone_number": "518-810-7028",
            "fax_number": "518-750-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NY RT 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651206",
            "telephone_number": "518-810-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHAM",
        "first_name": "CARRIE ANNE",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.