Individual provider Active NPI

Naeisha J. Miller, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1649401548
Registry record updated Nov 19, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004137 Issued in GA
Practice address
2440 Sandy Plains Rd
Build 24 Suite 100
Marietta, GA 30066-7217
Phone
(678) 362-7985
Fax
(678) 402-6594
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004137 GA Primary

Addresses

Primary practice location

2440 Sandy Plains Rd
Build 24 Suite 100
Marietta, GA 30066-7217

Mailing address

2440 Sandy Plains Rd
Build 24 Suite 100
Marietta, GA 30066-7217
Phone (678) 362-7985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CSW004137GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hearts Home Care Service, LLC PastSince Jan 26, 2020 Accepting new patients
Advanced Family Solutions, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1649401548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BUILD 24 SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "678-362-7985",
            "fax_number": "678-466-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BUILD 24 SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "678-362-7985",
            "fax_number": "678-402-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NAEISHA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.