Emma E Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9953 Issued in CT

Practice address

47 Water St Ste 101
Mystic, CT 06355-2573

Phone

(617) 416-0597

NPI assigned

Nov 30, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mystic Bridge to Wellness, LLC

  • Community/Behavioral Health Agency
  • Mystic, CT
  • NPI 1750044509
  NPD
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  NPD

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1609240787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 STAGE COACH ROW",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151240",
            "telephone_number": "860-608-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WATER ST STE 101",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552573",
            "telephone_number": "617-416-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Hempstead St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063206204",
            "country_code": "US",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "06260",
            "country_code": "US",
            "telephone_number": "860-963-7917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Hempstead St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063206204",
            "country_code": "US",
            "telephone_number": "860-443-2896",
            "fax_number": "860-442-5909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMMA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "895",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McQuades Marketplace Pharmacy
• Allison Mead
• Laura J Mentzer, DPT
• Michael J. Feltes, Dba Sound Seniors Geriatrics, MD
• Michael J. Feltes,Dba Sound Seniors Geriatrics, Aprn
• Miriam Wholean LCSW LLC
• Tamara M Mitton
• Monarch Counseling Services
• Maria L. Moro-de-Casillas, MD
• Alexis Morrell

• Clinical Social Worker in Mystic, CT
• Providers in Mystic, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.