Katherine Dooley Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

97654 Issued in CA

Practice address

991 14TH St
Oakland, CA 94607-3230

Phone

(510) 874-6788

NPI assigned

Jun 4, 2009

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1689800682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073230",
            "telephone_number": "510-874-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073230",
            "telephone_number": "510-874-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24077 State Highway 49",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959598519",
            "country_code": "US",
            "telephone_number": "530-265-9057",
            "fax_number": "530-292-3803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHERINE",
        "middle_name": "DOOLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oakland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "991 14th St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946073230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Miller, PSY.D
• Kanaree Miller
• Karen L Miller
• Kari Marie Miller
• Katelyn Miller
• Katherine Jeanette Miller
• Keisha Nicole Miller, BA
• Lacey Marie Miller, DO
• Laura Martin Miller, M.D.
• Louise A. Miller, MD

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.