Ebony Medina Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11475-C Issued in NV

Practice address

890 Mill St
Reno, NV 89502-1442

Phone

(775) 538-6700

NPI assigned

Mar 12, 2022

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

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medtrans Behavioral Nevada Casal PLLC 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medtrans Behavioral Nevada Casal, PLLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1245781160

  NV

  Medicare reassignment Care Compare group NPD
• Medtrans Behavioral Nevada Casal, PLLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1376407445
  NPD (past)
• Well Care Discount Pharmacy LLC

  • Pharmacy
  • Las Vegas, NV
  • NPI 1003166505
  NPD (past)

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1598413254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANDIA DR",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089623",
            "telephone_number": "775-217-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021442",
            "telephone_number": "775-538-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EBONY",
        "middle_name": "MEDINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11475-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Kay Miller, R.N.
• Diane C. Miller, M.S.
• Diane L Miller
• Dino Miller
• Dorothy Miller
• Emily Miller
• Evan Miller, MFT, LADC
• Glenn Gilbb Miller, M.D.
• Jade A Miller, DDS
• Jonathan Paul Miller, MD

• All providers in Reno, NV
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.