Samantha Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093064 Issued in NY

Practice address

139 Fulton St RM 619
New York, NY 10038-2534

Phone

(203) 641-7613

NPI assigned

Oct 20, 2009

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1508192956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 DEAN ST # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131503",
            "telephone_number": "203-641-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 619",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382534",
            "telephone_number": "203-641-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2009-10-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronee J. Miller, MA
• Russell S Miller, MD
• Ryan Jakob Miller
• Sam Miller, OTR/L
• Samantha Miller, LCSW
• Samantha Alexandra Miller, RDN, CDN
• Sanford Miller, M.D.
• Sarah Miller
• Sarah Miller, MD
• Sarah J Miller, PSYD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.