Active NPI
Courtney B Miller
- Social Worker
- Albany, NY
National Provider Identifier
1457112609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121248
- Practice address
- 50 Beaver St Ste 3
Albany, NY 12207-1538 - Phone
- (518) 245-6272
- NPI assigned
- Jan 16, 2024
- Last updated
- Jan 16, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 121248 | NY | Primary |
Addresses
Primary practice location
50 Beaver St Ste 3
Albany, NY 12207-1538
Mailing address
50 Colvin Ave Apt 215
Albany, NY 12206-1106
Phone (516) 653-1600
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 |
|---|---|---|---|
| 121248 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1457112609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COLVIN AVE APT 215",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061106",
"telephone_number": "516-653-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BEAVER ST STE 3",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071538",
"telephone_number": "518-245-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "COURTNEY",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "121248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.