Active NPI
Courtney Miller, LCSW
- Clinical Social Worker
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 80805
- Practice address
- 2350 W Shaw Ave
Ste 116
Fresno, CA 93711-3412 - Phone
- (559) 573-4194
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 80805 | CA | Primary |
Addresses
Primary practice location
2350 W Shaw Ave
Ste 116
Fresno, CA 93711-3412
Mailing address
1527 N Interlude Way
Clovis, CA 93619-8026
Phone (559) 679-7910
Other practice location 1
106 Pollasky Ave Ste D
Clovis, CA 93612-1159
Phone (559) 203-3775
Other practice location 2
481 W Audubon Dr Apt 112
Fresno, CA 93711-6230
Phone (559) 679-7910
Other practice location 3
3132 Jefferson St
San Diego, CA 92110-4421
Phone (619) 683-3100
Other practice location 4
1318 E Shaw Ave Ste 100
Fresno, CA 93710-7912
Phone (559) 840-2158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Current | Accepting new patients | |
| Achievements Unlimited Clinical Psychology Services, Inc. | Past | Accepting new patients | |
| Mindcure, Inc | Past | Accepting new patients | |
| VMS Family Counseling Services | Past | Accepting new patients |
Locations
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- La Jolla, CA
- NPI 1134309305
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1972953875
-
- Community/Behavioral Health Agency
- Clovis, CA
- NPI 1467993493
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1497093231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1669735262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 N INTERLUDE WAY",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198026",
"telephone_number": "559-679-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 W SHAW AVE",
"address_2": "STE 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113412",
"telephone_number": "559-573-4194"
}
],
"practiceLocations": [
{
"address_1": "106 Pollasky Ave Ste D",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936121159",
"country_code": "US",
"telephone_number": "559-203-3775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "481 W Audubon Dr Apt 112",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937116230",
"country_code": "US",
"telephone_number": "559-679-7910",
"fax_number": "559-679-7910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3132 Jefferson St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921104421",
"country_code": "US",
"telephone_number": "619-683-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1318 E Shaw Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937107912",
"country_code": "US",
"telephone_number": "559-840-2158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "COURTNEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "80805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.