Active NPI
Evan Richard Miller, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1548043219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW023873
- Practice address
- 2055 E Allegheny Ave
Philadelphia, PA 19134-3832 - Phone
- (919) 701-9130
- NPI assigned
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW023873 | PA | MD | Clinical Social Worker |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | CW023873 | PA | Primary |
Addresses
Primary practice location
2055 E Allegheny Ave
Philadelphia, PA 19134-3832
Mailing address
701 E Cathedral Rd
Ste 45 #1208
Philadelphia, PA 19128-2128
Phone (267) 209-0158
NPI Registry JSON
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1548043219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E CATHEDRAL RD",
"address_2": "STE 45 #1208",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282128",
"telephone_number": "267-209-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191343832",
"telephone_number": "919-701-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EVAN",
"middle_name": "RICHARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW023873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.