Myron H Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R037068 Issued in NY

Practice address

125 Brookley Rd
Rome, NY 13441-4301

Phone

(315) 334-7110

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689761306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LAUREL ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403230",
            "telephone_number": "315-334-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROOKLEY RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414301",
            "telephone_number": "315-334-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MYRON",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Middleby, MS CCCA NY STATE LIC
• Allen Migliaccio, CRNA
• Christina Lyndell Miller, PA-C
• Kelly Miller
• Mark James Miller, LMSW
• Balshik Min, M.D.
• MLS Health Inc
• Malek Mohamed
• Maysarah Gamal Mohamed
• Mohammed Seedat MD and Coral Nicholas MD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.