Individual provider Active NPI

Ruth Marie Miller, LISW

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1508317470
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901577 Issued in OH
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

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
I.1901577OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Self LTD CurrentSince Feb 7, 2025 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.

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

Verify at the official NPI Registry.