Active NPI
Kiran P Miner, LCSWR
- Clinical Social Worker
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R073142-1
- Practice address
- 3 Coates Dr Ste 8
Goshen, NY 10924-6765 - Phone
- (845) 291-0999
- NPI assigned
- Jul 11, 2008
- Last updated
- Jan 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R073142-1 | NY | Primary |
Addresses
Primary practice location
3 Coates Dr Ste 8
Goshen, NY 10924-6765
Mailing address
265 Steep Hill Rd
Beach Lake, PA 18405-4004
Phone (845) 649-7280
Other practice location 1
20 Community Ln
Liberty, NY 12754-2851
Phone (845) 292-8770 ext. 4025
Other practice location 2
155 N Main St Ste 4
Liberty, NY 12754-1864
Phone (845) 444-2995
Other names 1
- Prof. Kiran P Miner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11700 Main Rd
Suite 1
Mattituck, NY 11952-1525
Phone (888) 975-2256
28 N Country Rd
Suite 203
Mount Sinai, NY 11766-1518
Phone (888) 975-2256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R073142-1 | NY | MD | Clinical Social Worker |
| 073142 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calm Seas Psychotherapy, LCSW,PLLC | Clinical | Current | Accepting new patients |
| Heal Safe Inc | Clinical | Past | Accepting new patients |
| Stress Reduction and Psychological Services, PC | Past | Accepting new patients | |
| Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC | Past | Accepting new patients |
Locations
155 N Main St
Liberty, NY 12754
Phone (607) 930-4426
155 N Main St
Ste 4
Liberty, NY 12754
Phone (845) 444-2995
11700 Main Rd
Ste 1
Mattituck, NY 11952
Phone (631) 624-7839
28 N Country Rd
Ste 203
Mount Sinai, NY 11766
Phone (888) 975-2256
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Mount Sinai, NY
- NPI 1790247765
-
- Prescribing (Medical) Psychologist
- Riverhead, NY
- NPI 1578921623
-
dba Center for Stress Reduction
- Clinical Psychologist
- Goshen, NY
- NPI 1376607838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1629232426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 STEEP HILL RD",
"city": "BEACH LAKE",
"state": "PA",
"postal_code": "184054004",
"telephone_number": "845-649-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COATES DR STE 8",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246765",
"telephone_number": "845-291-0999"
}
],
"practiceLocations": [
{
"address_1": "20 Community Ln",
"address_purpose": "LOCATION",
"city": "Liberty",
"state": "NY",
"postal_code": "127542851",
"country_code": "US",
"telephone_number": "845-292-8770 x4025",
"fax_number": "845-292-4206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 N Main St Ste 4",
"address_purpose": "LOCATION",
"city": "Liberty",
"state": "NY",
"postal_code": "127541864",
"country_code": "US",
"telephone_number": "845-444-2995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINER",
"first_name": "KIRAN",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LCSWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R073142-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIRAN",
"last_name": "MINER",
"middle_name": "P",
"prefix": "PROF.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.