Active NPI
James Edward Mills, LCSW
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1699055970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006718
- Practice address
- 127 Bull River Bluff Dr
Savannah, GA 31410-1552 - Phone
- (201) 455-9076
- NPI assigned
- Aug 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006718 | GA | Primary |
| Clinical Social Worker | 1041C0700X | 078443-1 | NY |
Addresses
Primary practice location
127 Bull River Bluff Dr
Savannah, GA 31410-1552
Mailing address
127 Bull River Bluff Dr
Savannah, GA 31410-1552
Phone (201) 455-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006718 | GA | MD | Clinical Social Worker |
| 078443-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1699055970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 BULL RIVER BLUFF DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101552",
"telephone_number": "201-455-9076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 BULL RIVER BLUFF DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101552",
"telephone_number": "201-455-9076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-18",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006718",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078443-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.