Individual provider Active NPI

Patricia Ann Miller, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1598872087
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6721-123 Issued in WI
Practice address
1661 N Water St Ste 415
Milwaukee, WI 53202-2086
Phone
(414) 246-1075
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 6721-123 WI Primary

Addresses

Primary practice location

1661 N Water St Ste 415
Milwaukee, WI 53202-2086

Mailing address

1661 N Water St Ste 415
Milwaukee, WI 53202-2086
Phone (414) 246-1075

Other identifiers 1

IdentifierTypeStateIssuer
39744700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1661 N Water St
Suite 415
Milwaukee, WI 53202-2086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Compass Counseling, LLC CurrentSince May 23, 2017 Accepting new patients
Aurora Psychiatric Hospital, Inc. Past Accepting new patients

Locations

1661 N Water St
Ste 415
Milwaukee, WI 53202
Phone (414) 246-1075

827 N Cass St
Milwaukee, WI 53202
Phone (414) 278-7980

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1598872087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 415",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "414-246-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST STE 415",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022086",
            "telephone_number": "414-246-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6721-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39744700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.