Mindy Sue Miller, MSW CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801071650 Issued in MI

Practice address

148 W Washington St Ste a
Marquette, MI 49855-4383

Phone

(906) 273-2507

Fax

(906) 273-2507

NPI assigned

Nov 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mindy Sue Hares Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mind Matter LLC

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1386115814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1508849159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRONT ST STE 115",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554610",
            "telephone_number": "906-273-2507",
            "fax_number": "906-273-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554383",
            "telephone_number": "906-273-2507",
            "fax_number": "906-273-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MINDY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSW CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508849159",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "HARES",
            "middle_name": "SUE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mill Creek Memory Care Community
• Brian G Miller, P.T., O.C.S.
• Bruce David Miller
• Emily Joy Miller, MSW
• Lynn E Miller, MD
• Ryan Jacob Miller
• Samantha Lynne Miller
• Todd Miller Jr., PA-C
• Tia Lavelle Mills, NP
• Milton D Soderberg MD

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.