Individual provider Active NPI

Chelsea Renea Miller, LSW

  • Social Worker
  • Tyrone, PA
National Provider Identifier
1730740622
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130618 Issued in PA
Practice address
805 W 15TH St
Tyrone, PA 16686-1913
Phone
(814) 880-6220
NPI assigned
Jun 22, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130618 PA Primary

Addresses

Primary practice location

805 W 15TH St
Tyrone, PA 16686-1913

Mailing address

805 W 15TH St
Tyrone, PA 16686-1913
Phone (814) 880-6220

Other names 1

  • Chelsea Renea Little Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crmiller2@thehealthplan.com Direct Geisinger Health Plan

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW130618PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1730740622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W 15TH ST",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861913",
            "telephone_number": "814-880-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 15TH ST",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861913",
            "telephone_number": "814-880-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHELSEA",
        "middle_name": "RENEA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crmiller2@thehealthplan.com",
            "affiliation": "Y",
            "affiliationName": "Geisinger Health Plan",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1951 Pine Hall Rd",
            "city": "State College",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168015106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "LITTLE",
            "middle_name": "RENEA",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyrone, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.