Active NPI
Clifford Farmer Miller, LCSW
- Clinical Social Worker
- Greeneville, TN
National Provider Identifier
1427155902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000001092
- Practice address
- 312 Tusculum Blvd
Suite 100
Greeneville, TN 37745-3949 - Phone
- (423) 278-8805
- Fax
- (423) 370-1494
- NPI assigned
- Sep 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000001092 | TN | Primary |
Addresses
Primary practice location
312 Tusculum Blvd
Suite 100
Greeneville, TN 37745-3949
Mailing address
312 Tusculum Blvd
Suite 100
Greeneville, TN 37745-3949
Phone (423) 278-8805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3694507 | Medicaid | TN | |
| 3923920 | Medicaid | TN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
| Centerstone of Tennessee, Inc. | Past | Accepting new patients | |
| Centerstone of Tennessee, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1396767430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1427155902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 TUSCULUM BLVD",
"address_2": "SUITE 100",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453949",
"telephone_number": "423-278-8805",
"fax_number": "423-370-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 TUSCULUM BLVD",
"address_2": "SUITE 100",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453949",
"telephone_number": "423-278-8805",
"fax_number": "423-370-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CLIFFORD",
"middle_name": "FARMER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000001092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3694507",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3923920",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.