Individual provider Active NPI

Laurita Mullins Miller, LICSW

  • Clinical Social Worker
  • Helena, AL
National Provider Identifier
1528099009
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0531-1510C Issued in AL
Practice address
1109 Townhouse Road
Helena, AL 35080
Phone
(205) 267-2945
Fax
(205) 945-1890
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0531-1510C AL Primary
Clinical Social Worker 1041C0700X 4029 HI

Addresses

Primary practice location

1109 Townhouse Road
Helena, AL 35080

Mailing address

104 Stratshire LN
Pelham, AL 35124-2710
Phone (205) 267-2945

Other identifiers 1

IdentifierTypeStateIssuer
98835OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0531-1510CALMDClinical Social Worker
4029HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Nov 21, 2015 Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Nov 21, 2015 Accepting new patients
Hawaii Permanente Medical Group Inc PastSince Jul 11, 2016 Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528099009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 STRATSHIRE LN",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242710",
            "telephone_number": "205-267-2945",
            "fax_number": "205-945-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 TOWNHOUSE ROAD",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "35080",
            "telephone_number": "205-267-2945",
            "fax_number": "205-945-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURITA",
        "middle_name": "MULLINS",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0531-1510C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AL

Sources for this page

Verify at the official NPI Registry.