Anita Miller, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0005341 Issued in OH

Practice address

521 Beall Ave
Wooster, OH 44691-3589

Phone

(330) 262-7836

Fax

(330) 262-2867

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sourceone Group Inc

  • Adult Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1447346564
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1467512491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836",
            "fax_number": "330-262-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836",
            "fax_number": "330-262-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0005341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Grace Michel, MA CCC-SLP
• Krista Michener, CNP
• Rhonda L Mickna, MSN, AGNP-C
• Anson T Miedel, MD
• Linda M Milewski, PA-C
• Cameron Allan Miller, QMHS
• Caroline Anne Miller, FNP-C
• Gwendolyn A Miller
• James Thomas Miller
• Jeanne Miller, MS, PC

• Clinical Social Worker in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.