Active NPI
Ruth Marie Miller, LISW
- Clinical Social Worker
- Maumee, OH
National Provider Identifier
1508317470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901577
- Practice address
- 3615 Briarfield Blvd Ste B
Maumee, OH 43537-9381 - Phone
- (419) 386-0031
- Fax
- (419) 315-9973
- NPI assigned
- Oct 17, 2016
- 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 | I.1901577 | OH | Primary |
Addresses
Primary practice location
3615 Briarfield Blvd Ste B
Maumee, OH 43537-9381
Mailing address
3615 Briarfield Blvd Ste B
Maumee, OH 43537-9381
Phone (419) 386-0031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605003905 | OH | Practitioner - Clinical Social Worker | 2567972938 | Practice locations: Maumee, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3615 Briarfield Blvd
Suite B
Maumee, OH 43537-9381
Phone (419) 386-0031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901577 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Self LTD | Current | Accepting new patients |
Locations
3615 Briarfield Blvd
Ste B
Maumee, OH 43537
Phone (419) 386-0031
Organizations & group practices 1
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.
-
- Professional Counselor
- Maumee, OH
- NPI 1982294054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1508317470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 BRIARFIELD BLVD STE B",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379381",
"telephone_number": "419-386-0031",
"fax_number": "419-315-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 BRIARFIELD BLVD STE B",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379381",
"telephone_number": "419-386-0031",
"fax_number": "419-315-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RUTH",
"middle_name": "MARIE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.