Individual provider Active NPI

Linda C Miller, LCSW, LMFT

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1619134764
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5001 Issued in KY
Practice address
4123 Dutchmans LN Ste 503
Louisville, KY 40207-4730
Phone
(502) 409-5600
Fax
(502) 259-3078
NPI assigned
May 16, 2008
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5239 TN
Clinical Social Worker 1041C0700X 5001 KY Primary
Marriage & Family Therapist 106H00000X 0853 KY

Addresses

Primary practice location

4123 Dutchmans LN Ste 503
Louisville, KY 40207-4730

Mailing address

8911 Greeneway Commons PL
Suite 203
Louisville, KY 40220-4064
Phone (502) 741-9641

Other practice location 1

8911 Greeneway Commons Pl
Suite 203
Louisville, KY 40220-4064
Phone (502) 741-9641

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

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
828TNMDPodiatrist
5239TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Jan 22, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 22, 2019 Accepting new patients

Locations

4123 Dutchmans Ln
Ste 503
Louisville, KY 40207
Phone (502) 409-5600

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1619134764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 GREENEWAY COMMONS PL",
            "address_2": "SUITE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204064",
            "telephone_number": "502-741-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 503",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074730",
            "telephone_number": "502-409-5600",
            "fax_number": "502-259-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8911 Greeneway Commons Pl",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402204064",
            "country_code": "US",
            "telephone_number": "502-741-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LINDA",
        "middle_name": "C",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5001",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.