Susan Millham Licsw PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

DP00944194 Issued in WV

Legal business name

SUSAN MILLHAM LICSW PLLC

Doing business as

Millham Psychotherapy Group

Practice address

7000 Coombs Farm Rd Ste 202
Morgantown, WV 26508-0803

Phone

(304) 435-3494

NPI assigned

Nov 3, 2015

Last updated

Oct 13, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUSAN MILLHAM LICSW PLLCAs reported in NPPES

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

Authorized official

Name

Susan Millham, MSW, LICSWNPI 1164899365

Title

Owner

Phone

(304) 435-3494

Specialties & licenses 2

Addresses

Other names 1

• Millham Psychotherapy Group Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Part of

Susan Millham Licsw PLLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Millham, MSW, LICSW

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1164899365
  Medicare reassignment Care Compare group NPD Authorized official
• Kristina Michelle Hash, PHD

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1780219782
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1639542442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 COOMBS FARM RD STE 202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080803",
            "telephone_number": "304-435-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 COOMBS FARM RD STE 202",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265080803",
            "telephone_number": "304-435-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MILLHAM LICSW PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN MILLHAM LICSW PLLC",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MILLHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-435-3494",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "DP00944194",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millham Psychotherapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Sunzeri
• Hannah Rosemarie Surgent
• Pranav Suri
• Laura Jean Surowick-Snyder, MSW
• Susan Capelle MD, PLLC
• Caitlin Scott Sussman, LGSW
• Christine A Sutch, CRNP
• Kurt Suter, MD
• Caesar Sutton
• Kudora Melody Sutton, DNP, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.