Mark Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW78085 Issued in CA

Practice address

1965 Live Oak Blvd
Yuba City, CA 95991-8850

Phone

(530) 822-7200

NPI assigned

Apr 25, 2011

Sex

Male

Sole proprietor

No

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.

• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622
  Medicare reassignment Care Compare group NPD CA, Clinical
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1245043413
  Care Compare group NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1922598226
  Care Compare group NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Olivehurst, CA
  • NPI 1104526664
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1114643871
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1164886040
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Live Oak, CA
  • NPI 1316096894
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1669152120
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Yuba City, CA
  • NPI 1841723327
  Care Compare group

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peach Tree Healthcare 32 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.miller.p1@direct.peachtreehealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2017.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1487945556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9063",
            "city": "BEALE AFB",
            "state": "CA",
            "postal_code": "959039063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959918850",
            "telephone_number": "530-822-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Suzanne Miles
• Brian Miller
• J. David Miller, DO
• Jennifer Anne Miller, PA-C
• Kristin Miller
• Mei-Ling Miller, AUD
• Shaneil Kyion Miller
• Ramona Maria Mimila
• Sabrina Minchew
• Morgan Raeann Minjares

• All providers in Yuba City, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.