Mandy Michelle Miller, MS, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004354 Issued in GA

Practice address

204 W Spring St
Monroe, GA 30655-1914

Phone

(770) 599-7508

NPI assigned

Feb 21, 2012

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Creative Center for Wellness, IncorporatedGroup PAC ID 3274888946, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• Direct secure messaging: mandymiller@tdh.allscriptsdirect.net

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.

• Creative Center for Wellness, Incorporated

  • Clinical Social Worker
  • Monroe, GA
  • NPI 1154837946
  Medicare reassignment Care Compare group Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Georgia Outreach, LLC

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1902128929

  Clinical

  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1669745642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551914",
            "telephone_number": "707-599-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551914",
            "telephone_number": "770-599-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MANDY",
        "middle_name": "MICHELLE",
        "credential": "MS, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Townsend Merwin IV, PT, DPT
• MH Health Care Services, PC
• Michael D Hughes, DC, PC (Burson Chiropractic Clinic)
• Douglas Christian Miller, D.O.
• Larry J Miller, D.M.D.
• Marci Ann Miller, MS, APRN, NP-C
• Misty Sue's Adult Day Health Center LLC
• Aundre R. Mitchell, FNP-BC
• Mary Grace Mitchell, MSW
• Dylan Keith Mixson, FNP-C

• Clinical Social Worker in Monroe, GA
• Providers in Monroe, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.

Verify at the official NPI Registry.