Melvin Samuel Miller, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801046049 Issued in MI

Practice address

220 Bagley St
Suite 1200
Detroit, MI 48226-1400

Phone

(313) 961-4890

Fax

(313) 961-5120

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1699911974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24280 ROUGECREST RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332882",
            "telephone_number": "313-875-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAGLEY ST",
            "address_2": "SUITE 1200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261400",
            "telephone_number": "313-961-4890",
            "fax_number": "313-961-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELVIN",
        "middle_name": "SAMUEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801046049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN BOARD OF SOCIAL WORK",
            "identifier": "6801046049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Miller, AU.D.
• Lisa Renee Miller
• Madison Ellis Miller, MD
• Martha J Miller, PHARMD
• Melissa Leigh Miller, NP-C
• Melvine Mary Miller, LMSW
• Michael Miller, ATC, AT
• Michelle K Miller, PT
• Nakina Miller, BSW
• Paula Maria Miller

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.