Individual provider Active NPI

Amy Beth Miller, LCSW

  • Clinical Social Worker
  • Wabash, IN
National Provider Identifier
1548044704
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010273A Issued in IN
Practice address
8 John Kissinger Dr
Wabash, IN 46992-1648
Phone
(260) 563-7421
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Wabash Hospital Inc 31 clinicians

Practice addresses (Care Compare)

10 John Kissinger Dr
Wabash, IN 46992-1648

1104 N Wayne St
Parkview Wabash Health Clinic North Manch
North Manchester, IN 46962-1001
Phone 2609822102260569

8 John Kissinger Dr
Wabash, IN 46992-1648
Phone (260) 563-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240422002863 IN Practitioner - Clinical Social Worker 4981043031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010273A IN Primary

Addresses

Primary practice location

8 John Kissinger Dr
Wabash, IN 46992-1648

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1548044704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHN KISSINGER DR",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921648",
            "telephone_number": "260-563-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010273A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.