Kathleen Brighid Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016859 Issued in PA

Practice address

Ida Towers
1010 12TH Street
Altoona, PA 16601-3411

Phone

(814) 505-4241

NPI assigned

Nov 6, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Kathleen Miller, LSW, PSC

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1174838668
  NPD Authorized official

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1629305958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EVERGREEN LN",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166627059",
            "telephone_number": "814-505-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IDA TOWERS",
            "address_2": "1010 12TH STREET",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013411",
            "telephone_number": "814-505-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "BRIGHID",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016859",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA NUMBER",
            "identifier": "102394936 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Joelle Miles, DO
• Cathy L Miller, CRNP
• Ginamarie A Miller
• Janelle Miller
• Judith K. Miller, R.PH.
• Leonard P Miller, BS
• Lisa M Miller
• Meagan Miller, LPN
• Noel Miller
• Scott Allen Miller, COTA

• Clinical Social Worker in Altoona, PA
• Providers in Altoona, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.