Kristin A Miller, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC11128 Issued in ME

Practice address

10 Barker St
Calais, ME 04619-1404

Phone

(207) 454-2928

Fax

(207) 454-2747

NPI assigned

May 24, 2007

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

Other identifiers 1

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.

• Community Health and Counseling Services

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1508921842
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1477764397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046190183",
            "telephone_number": "207-454-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BARKER ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191404",
            "telephone_number": "207-454-2928",
            "fax_number": "207-454-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431745299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Melhiser, OQMHP-C, MHRT-CSP
• Amanda L Merchant, CADC
• Kristine A Mesman, PTA
• Heather L. Metcalf, OQMHP
• Jason Michaud, PHARMD
• Nima Moghaddas, DPM
• Marisela Morillo, CRNA
• Shannon C Munro, NP
• Brenda A Nadeau Deveau, RN, MHRT-C, LSW
• Laura D Nelson, LMSWCC

• Clinical Social Worker in Calais, ME
• Providers in Calais, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.