Tyrone Marshall Miles Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05802400 Issued in NJ

Practice address

1147 Langham Ave
Camden, NJ 08103-2817

Phone

(609) 417-0825

NPI assigned

Oct 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• A New Hope Counseling and Consultation LLC

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1740973361
  NPD Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1659743219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 LANGHAM AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032817",
            "telephone_number": "609-417-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 LANGHAM AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032817",
            "telephone_number": "609-417-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "TYRONE",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06110700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05802400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tyronemileslcsw@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1147 Langham Ave",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081032817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald Miick, MD
• Zachary Scott Mikes, DO
• Rebecca Mikolai, CRNP
• Aubri Marie Milano, DO
• Christopher A Milburn, MD
• Jennifer Milillo, M.D.
• Alyssa Ann Miller
• Anita Miller, CRNA
• Danielle P Miller, PA-C
• Michelle Miller, APN

• Clinical Social Worker in Camden, NJ
• Providers in Camden, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.