Individual provider Active NPI

Caitlin Leigh Nikole Miller

  • Clinical Social Worker
  • Dover, OH
National Provider Identifier
1730858580
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2101924-TRNE Issued in OH
Practice address
201 Hospital Dr
Dover, OH 44622-2058
Phone
(330) 343-6631
Fax
(330) 343-8188
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.2101924-TRNE OH Primary

Addresses

Primary practice location

201 Hospital Dr
Dover, OH 44622-2058

Mailing address

201 Hospital Dr
Dover, OH 44622-2058
Phone (330) 343-6631

Other names 1

  • Caitlin Kinder Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cmhdover.org Other

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
S.2101924-TRNEOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1730858580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222058",
            "telephone_number": "330-343-6631",
            "fax_number": "330-343-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222058",
            "telephone_number": "330-343-6631",
            "fax_number": "330-343-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAITLIN",
        "middle_name": "LEIGH NIKOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2101924-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cmhdover.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "cmhdover.org",
            "address_1": "201 Hospital Dr",
            "city": "Dover",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446222058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "KINDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.