Active NPI
Ingrid L Miller, LISW-CP
- Clinical Social Worker
- Greenville, SC
National Provider Identifier
1447548672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8603
- Practice address
- 130 Mallard St
Greenville, SC 29601-4046 - Phone
- (864) 233-1534
- Fax
- (864) 233-3403
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8603 | SC | |
| Clinical Social Worker | 1041C0700X | 8603 | SC | Primary |
Addresses
Primary practice location
130 Mallard St
Greenville, SC 29601-4046
Mailing address
PO Box 287
Greenville, SC 29602-0287
Phone (864) 233-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2094 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 676-9211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8603 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Psychiatric Service PA | Current | Accepting new patients | |
| Charleston Counseling Center PC | Mental Health | Current | Accepting new patients |
| Myrtle Beach Counseling Center | Mental Health | Past | Accepting new patients |
| New Horizon Family Health Services Inc | Past | Accepting new patients |
Locations
2094 Woodruff Rd
Greenville, SC 29607
Phone (864) 676-9211
30 Patewood Dr
Ste 160
Greenville, SC 29615
Phone (864) 455-5777
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Greenville, SC
- NPI 1164481867
-
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1629872734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1447548672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296020287",
"telephone_number": "864-233-1534",
"fax_number": "864-233-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-233-1534",
"fax_number": "864-233-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "INGRID",
"middle_name": "L",
"credential": "LISW-CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8603",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.