Individual provider Active NPI

Melanie Miller, LSCSW

  • Clinical Social Worker
  • Newton, KS
National Provider Identifier
1477767929
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2157 Issued in KS
Practice address
224 E 2ND St
Newton, KS 67114-3404
Phone
(316) 288-0090
Fax
(316) 932-1556
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2157 KS Primary

Addresses

Primary practice location

224 E 2ND St
Newton, KS 67114-3404

Mailing address

224 E 2ND St
Newton, KS 67114-3404

Other practice location 1

415 N Poplar Ave
Wichita, KS 67214-4529
Phone (316) 686-6671

Other identifiers 1

IdentifierTypeStateIssuer
069800OtherKSBLUE CROSS BLUE SHIELD KS

Other names 1

  • Melanie Miller Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000586 KS Practitioner - Clinical Social Worker 8820088594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

224 E 2ND St
Newton, KS 67114-3404
Phone (316) 288-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie a Miller Lscsw LLC Clinical CurrentSince Apr 4, 2018 Accepting new patients
Affiliated Family Counselors LLC CurrentSince Oct 1, 2015 Accepting new patients
Family Health & Wellness, LLC PastSince Sep 23, 2021 Accepting new patients

Locations

1855 N Webb Rd
Wichita, KS 67206
Phone (316) 634-0060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1477767929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E 2ND ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 2ND ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143404",
            "telephone_number": "316-288-0090",
            "fax_number": "316-932-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 N Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144529",
            "country_code": "US",
            "telephone_number": "316-686-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "069800",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "MILLER GARRETT",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.