Betty Miller

Primary specialty

Social WorkerTaxonomy code 104100000X

License

G07363 Issued in MD

Practice address

1202 Annapolis Rd
Suite F
Odenton, MD 21113-1397

Phone

(410) 672-2862

Fax

(410) 672-2869

NPI assigned

May 25, 2007

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

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518178946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 LLANFAIR DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443848",
            "telephone_number": "410-730-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 ANNAPOLIS RD",
            "address_2": "SUITE F",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131397",
            "telephone_number": "410-672-2862",
            "fax_number": "410-672-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BETTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G07363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G07363",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Ryan Merkel, DPT
• Metaphorward Therapy, LLC
• Caitlin Miller
• Valencia Nycole Miller
• Austin Mitchell
• Joseph Mitchell III
• Tara Nicole Mitchell, LCPC

• Social Worker in Odenton, MD
• Providers in Odenton, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.