Individual provider Active NPI

James P Miller, L.C.S.W.

  • Clinical Social Worker
  • Wyomissing, PA
National Provider Identifier
1740203348
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015567 Issued in PA
Practice address
716 N Park Rd
Wyomissing, PA 19610-2912
Phone
(610) 375-0544
Fax
(610) 378-9779
NPI assigned
Jul 25, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 CW015567 PA Primary

Addresses

Primary practice location

716 N Park Rd
Wyomissing, PA 19610-2912

Mailing address

716 N Park Rd
Wyomissing, PA 19610-2912
Phone (610) 375-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000075 PA Practitioner - Clinical Social Worker 1355443441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haven Behavioral Services of Reading LLCGroup PAC ID 4183810807, 14 clinicians
Ahava Counseling and Wellness Services, LLCGroup PAC ID 3072978139, 2 clinicians

Practice addresses (Care Compare)

1800 N 12TH St
Suite 2
Reading, PA 19604-1545
Phone (610) 816-5728

504 N Park Rd
Suite P1
Wyomissing, PA 19610-2920
Phone (610) 413-6516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015567PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Clinical CurrentSince Jan 18, 2007 Accepting new patients
Haven Behavioral Services of Reading, LLC CurrentSince May 21, 2024 Accepting new patients

Locations

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

716 N Park Rd
Wyomissing, PA 19610
Phone (610) 375-0544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1740203348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102912",
            "telephone_number": "610-375-0544",
            "fax_number": "610-378-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102912",
            "telephone_number": "610-375-0544",
            "fax_number": "610-378-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.