Michele Gillette Miller, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1340603501 Issued in UT

Practice address

4460 S Highland Dr
SLC, UT 84124-3543

Phone

(888) 949-4864

NPI assigned

Feb 6, 2008

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)

Enrolled

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1558549048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "888-949-4864",
            "fax_number": "801-578-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELE",
        "middle_name": "GILLETTE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1340603501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "800004476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Scott Mickelson, M.D.
• Kristin Allison Midyett, LCSW
• Alexis Miles
• Claudine Miller, LCSW
• Maxine Jan Miller
• Tanya Michelle Miller, PSY.D.
• Tifanee Miller, PT
• Travis Pentz Miller
• Kevin Shawn Millet, D.C.
• Anika Chelsea Milner

• Clinical Social Worker in SLC, UT
• Providers in SLC, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.