Jennifer Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3490 Issued in CT

Practice address

173 Montowese St
Branford, CT 06405-3887

Phone

(475) 221-8142

Fax

(475) 221-8175

NPI assigned

Dec 9, 2019

Last updated

Dec 9, 2019By the provider in NPPES

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

Electronic endpoints 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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1518504521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BUTTERMILK LN",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052701",
            "telephone_number": "203-843-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053887",
            "telephone_number": "475-221-8142",
            "fax_number": "475-221-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller@branfordschools.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "25 Buttermilk Ln",
            "city": "Branford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064052701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Mark Meyers, LCSW
• John D Michalak, D.M.D.
• Christopher Mignosa, LCSW
• Linda Milici, MD
• Denis John Miller, MD
• Katy Miller, MS, LPC, NCC
• Philip A Minotti, M.D.
• Kimberly A Mitchell, LCSW
• Donna Moeller, PT
• Olivia Lindsay Montesi, PT, DPT

• Clinical Social Worker in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.