Active NPI
Kaela N Miller, SWT, CDCA
- Social Worker
- Dayton, OH
National Provider Identifier
1447809603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2304407
- Practice address
- 1010 Valley St
Dayton, OH 45404-2070 - Phone
- (937) 802-0866
- NPI assigned
- Sep 10, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168449 | OH | |
| Social Worker | 104100000X | OH | ||
| Social Worker | 104100000X | 1900924 | OH | |
| Social Worker | 104100000X | I.2304407 | OH | Primary |
Addresses
Primary practice location
1010 Valley St
Dayton, OH 45404-2070
Mailing address
5662 Harshmanville Rd
Dayton, OH 45424-5352
Phone (937) 416-7526
Other practice location 1
3095 Kettering Blvd
Moraine, OH 45439
Phone (937) 293-8300
Other practice location 2
425 N Findlay St
Dayton, OH 45404-2203
Phone (397) 949-1860
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
| License | State | Type | Specialty |
|---|---|---|---|
| 168449 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 1900924 | OH | MD | Social Worker |
| I.2304407 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1447809603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5662 HARSHMANVILLE RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454245352",
"telephone_number": "937-416-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 VALLEY ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454042070",
"telephone_number": "937-802-0866"
}
],
"practiceLocations": [
{
"address_1": "3095 Kettering Blvd",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "45439",
"country_code": "US",
"telephone_number": "937-293-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 N Findlay St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454042203",
"country_code": "US",
"telephone_number": "397-949-1860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KAELA",
"middle_name": "N",
"credential": "SWT, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "168449",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1900924",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2304407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.