Anthony Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009806 Issued in VA

Practice address

1599 Jones Street
Grand Forks Afb, ND 58205

Phone

(701) 747-4460

NPI assigned

Feb 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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

• Hampton Newport News Community Services Board

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1659424448
  Medicare reassignment NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD
• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)
• Ronald W. Atwood, M.D., P.C.

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1982637575
  NPD (past)
• Tonya Dorline Johnson LCSW LLC

  • Adult Mental Health Clinic/Center
  • Newport News, VA
  • NPI 1801394382
  NPD (past)

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1700326634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 JONES STREET",
            "city": "GRAND FORKS AFB",
            "state": "ND",
            "postal_code": "58205",
            "telephone_number": "701-747-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 JONES STREET",
            "city": "GRAND FORKS AFB",
            "state": "ND",
            "postal_code": "58205",
            "telephone_number": "701-747-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Kolden, RDH
• Timothy Kresien
• James T Kwasneski, LCSW
• Benjamin Lofgren, DPT
• Rebecca Leigh McLean, D.O.
• Randall Clifford Nedegaard, PH.D
• Janet Nelson, LICSW
• William Niermeyer, DDS
• Mazin Nour Ahmed, DDS
• Bryan Keith Payne, M.D.

• Clinical Social Worker in Grand Forks Afb, ND
• Providers in Grand Forks Afb, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.