Active NPI
Erica Niccole Miller, LCSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1477820587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10565
- Practice address
- 304 Robinwood Ave
Tallahassee, FL 32305-7244 - Phone
- (850) 508-3306
- NPI assigned
- Nov 18, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10565 | FL | Primary |
Addresses
Primary practice location
304 Robinwood Ave
Tallahassee, FL 32305-7244
Mailing address
304 Robinwood Ave
Tallahassee, FL 32305-7244
Phone (850) 508-3306
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10565 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Therapy Services, Inc | Current | Accepting new patients | |
| Erica Miller Counseling Group LLC | Clinical | Current | Accepting new patients |
Locations
6425 Pensacola Blvd
#13
Pensacola, FL 32505
Phone (850) 471-0017
2892 E Park Ave
Ste 7
Tallahassee, FL 32301
Phone (850) 508-3306
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pensacola, FL
- NPI 1407427800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1477820587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 ROBINWOOD AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323057244",
"telephone_number": "850-508-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 ROBINWOOD AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323057244",
"telephone_number": "850-508-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ERICA",
"middle_name": "NICCOLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.