Individual provider Active NPI

Nicole Ann Millar, LCSW

  • Clinical Social Worker
  • Clearwater, FL
National Provider Identifier
1710123435
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11832 Issued in FL
Practice address
1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone
(727) 824-8181
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X ASW24209 CA
Clinical Social Worker 1041C0700X SW11832 FL Primary

Addresses

Primary practice location

1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172

Mailing address

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW24209CAMDClinical Social Worker
SW11832FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc CurrentSince Nov 9, 2019 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Nov 9, 2019 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Nov 9, 2019 Accepting new patients
Baycare Behavioral Health Associates LLC Current Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Nov 9, 2019 Accepting new patients
Winter Haven Hospital Inc CurrentSince Nov 9, 2019 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Nov 9, 2019 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Nov 9, 2019 Accepting new patients
Community Health Centers of Pinellas Inc. Past Accepting new patients

Locations

15311 Cortez Blvd
Brooksville, FL 34613
Phone (352) 467-6529

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1710123435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564172",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "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": "CA",
            "license": "ASW24209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.