Active NPI
Laura A. Miller, LCSW
- Clinical Social Worker
- Harris, NY
National Provider Identifier
1720258783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 68 Harris Bushville Rd
Harris, NY 12742 - Phone
- (845) 794-3300
- NPI assigned
- Mar 6, 2008
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 076157 | NY | |
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
68 Harris Bushville Rd
Harris, NY 12742
Mailing address
48 Naylor Rd
White Lake, NY 12786
Phone (845) 583-7138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076157 | NY | MD | Rural Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1720258783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 NAYLOR RD",
"city": "WHITE LAKE",
"state": "NY",
"postal_code": "12786",
"telephone_number": "845-583-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 HARRIS BUSHVILLE RD",
"city": "HARRIS",
"state": "NY",
"postal_code": "12742",
"telephone_number": "845-794-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAURA",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "NY",
"license": "076157",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harris, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.