Nicole Miller, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

099363 Issued in NY

Practice address

1475 Park Ave
New York, NY 10029-3810

Phone

(212) 426-3400

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Northside Center for Child Development Day School

  • Local Education Agency (LEA)
  • New York, NY
  • NPI 1477882322
  NPD (past)
• Northside Center for Child Development, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1396817003

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1659004349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12338 146TH ST FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293810",
            "telephone_number": "212-426-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mychaela Ann Miller
• Nancy L Miller, PSY.D.
• Naomi Miller, PHD ACSW
• Naomi Miller, PH.D.,LCSW
• Nicolas Elie Miller, PNP
• Nina Lynn Miller, PH.D.
• Peter J Miller, LCSW
• Philip Miller I
• Philip J Miller, MD, FACS
• Rachel Lena Miller, M.D.

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.