Kelsey Dawn Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015090 Issued in NC

Practice address

3635 Manor House Dr
Charlotte, NC 28270-2291

Phone

(704) 718-8657

Fax

(877) 735-8447

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Parenting Solutions, PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1265611271
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1700499753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 CHESTNUT LAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282274928",
            "telephone_number": "704-678-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MANOR HOUSE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702291",
            "telephone_number": "704-718-8657",
            "fax_number": "877-735-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELSEY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate K Miller, MD
• Katherine Scott Miller
• Kathryn Elizabeth Miller, PSYCHOLOGIST
• Kelly A Miller
• Kelly Teresa Miller, PMHNP-BC
• Keyadd Miller, LCSWA
• Kimberly Miller, PT, DPT
• Kimberly Diane Miller, AU.D.
• Kurt Miller
• Laporsha Miller, L.P.N.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.