Individual provider Active NPI

Elizabeth Miller, LCSW

  • Clinical Social Worker
  • Milford, DE
National Provider Identifier
1699951228
Registry record updated Nov 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001017 Issued in DE
Practice address
550 S Dupont Blvd Ste F
Milford, DE 19963-1704
Phone
(302) 422-2228
Fax
(302) 422-3888
NPI assigned
Jan 14, 2008
Last updated
Nov 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001017 DE Primary

Addresses

Primary practice location

550 S Dupont Blvd Ste F
Milford, DE 19963-1704

Mailing address

35629 Airport Rd
Rehoboth Beach, DE 19971-4619
Phone (302) 604-9677

Other practice location 1

35629 Airport Rd
Rehoboth Beach, DE 19971-4619
Phone (302) 503-0353

Other identifiers 1

IdentifierTypeStateIssuer
705371101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20231205003999 DE Practitioner - Clinical Social Worker 2961552195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 S Dupont Blvd
Suite F
Milford, DE 19963-1704
Phone (302) 503-0353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
Q1-0001017DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling LLC Single Specialty CurrentSince Oct 8, 2023 Accepting new patients

Locations

550 S DuPont Blvd
Ste F
Milford, DE 19963
Phone (302) 422-1855

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700956800000",
    "number": "1699951228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35629 AIRPORT RD",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714619",
            "telephone_number": "302-604-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S DUPONT BLVD STE F",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631704",
            "telephone_number": "302-422-2228",
            "fax_number": "302-422-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35629 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714619",
            "country_code": "US",
            "telephone_number": "302-503-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.