Individual provider Active NPI

Courtney Miller, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1669735262
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80805 Issued in CA
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

Updated by the provider on Aug 6, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618002163 CA Practitioner - Clinical Social Worker 0042565947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Aug 7, 2023 Accepting new patients
Achievements Unlimited Clinical Psychology Services, Inc. PastSince Oct 12, 2022 Accepting new patients
Mindcure, Inc PastSince Aug 1, 2023 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.

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

Verify at the official NPI Registry.