Elena Miller, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4184 Issued in CT

Practice address

435 E Main St
Ansonia, CT 06401-1964

Phone

(203) 736-2601

Fax

(203) 736-2641

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Darien Wellness

  • Mental Health Counselor
  • Darien, CT
  • NPI 1710344809
  Medicare reassignment NPD
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Medicare reassignment

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1487101374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "4184",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ansonia",
            "affiliation": "N",
            "address_1": "435 E Main St",
            "city": "Ansonia",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064011964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily R Medina, LCSW
• Marjorie Merzier, MSW
• Doreen Geralyn Metzler, LPC, LMFT
• Amy J Miklos, PA-C
• David D Millen, DMD
• Mindful Awareness, PLLC
• David Moll, M.D.
• Stephen J. Moses, M.D.
• Katherine Ellen Banker Murphy, PHARMD
• Raye Jethro Mutcherson II, PHARMD

• Social Worker in Ansonia, CT
• Providers in Ansonia, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.