Debra-Ann W. Miller, LCSW
Individual provider Active NPI Clinical Social Worker · Springfield Center, NY
NPI 1598845463 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1598845463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 071549-1 (NY)
- Practice address
- 160 Public Landing Road
Springfield Center, NY 13468-0323 - Phone
- (315) 868-4866
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 15, 2024 through Nov 15, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071549-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071549-1 | NY | Yes |
Addresses
Primary practice location
160 Public Landing Road
Springfield Center, NY 13468-0323
Mailing address
PO Box 323
160 Public Landing Road
Springfield Center, NY 13468-0323
Phone (315) 868-4866
Other providers in Springfield Center, NY
All providers in Springfield Center, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.