Susan Mary Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26431 Issued in CA

Practice address

1832 Scott Rd
Burbank, CA 91504-3819

Phone

(818) 568-6244

NPI assigned

Jul 31, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Illumination Geriatric Consultation and Counseling Services

  • Community/Behavioral Health Agency
  • Burbank, CA
  • NPI 1265741581
  NPD Authorized official

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

{
    "created_epoch": "1280534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280534400000",
    "number": "1609180769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043819",
            "telephone_number": "818-568-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 SCOTT RD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043819",
            "telephone_number": "818-568-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-31",
        "last_updated": "2010-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ellen Miller, PH.D.
• Cheyenne Miller
• Dina C. Miller, AU.D.
• Paige Sophia Miller, BA
• Renee N Miller, LMFT
• Jacey Milliner
• Crista Catherine Mills, LCSW
• Nicole Mills, M.S. CCC-SLP
• Patricia Lynn Mills, LMFT
• Ross Eric Milstein

• Clinical Social Worker in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; 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.