Patricia J Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2001028380 Issued in MO

Practice address

6230 NW Barry Rd
Kansas City, MO 64154-2530

Phone

(816) 505-3311

Fax

(816) 505-3511

NPI assigned

Apr 26, 2006

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Samuel O Fadare, MD, PA

  dba Samuel O Fadare, MD, PC

  • Adult Mental Health Clinic/Center
  • Gladstone, MO
  • NPI 1639287824

  Clinical

  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1720044704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542530",
            "telephone_number": "816-505-3311",
            "fax_number": "816-505-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542530",
            "telephone_number": "816-505-3311",
            "fax_number": "816-505-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001028380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD KANSAS CITY",
            "identifier": "35558015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A Miller, MD
• Nancy J Miller, RD, PH.D.
• Olivia Alyse Miller, OTR
• Olivia G Miller
• Otis E Miller II
• Rachel V Miller, NP
• Rebecca Miller, PA-C
• Ryan Andrew Miller, LMFT
• Shelly K Miller, RN
• Sherice Latrail Miller

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.