Active NPI
Hollie Miles, LCSW
- Clinical Social Worker
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009557
- Practice address
- 1905 Huguenot Rd Ste 303C
North Chesterfield, VA 23235 - Phone
- (804) 346-6327
- NPI assigned
- Aug 4, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102921 | VA | |
| Clinical Social Worker | 1041C0700X | 0904009557 | VA | Primary |
Addresses
Primary practice location
1905 Huguenot Rd Ste 303C
North Chesterfield, VA 23235
Mailing address
PO Box 72984
North Chesterfield, VA 23235-8023
Phone (434) 572-7184
Other practice location 1
1191 Crawford Rd
Halifax, VA 24558-2459
Phone (434) 572-7184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5911 W Broad St
Richmond, VA 23230-2219
Phone (804) 330-6441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710102921 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Clinical | Current | Accepting new patients |
| Changing Futures Counseling Services, LLC. | Current | Accepting new patients | |
| Central Virginias Preferred Providers | Current | Accepting new patients |
Locations
523 Madison St
Boydton, VA 23917
Phone (434) 738-0154
1905 Huguenot Rd
Ste 303C
North Chesterfield, VA 23235
Phone (804) 346-6327
2421 Westwood Ave
Ste F
Richmond, VA 23230
Phone (804) 317-2288
5911 W Broad St
Richmond, VA 23230
Phone (804) 213-0259
424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1730638107
-
- Community/Behavioral Health Agency
- Clarksville, VA
- NPI 1700890761
Clinical
-
- Community/Behavioral Health Agency
- North Chesterfield, VA
- NPI 1205471513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1760936918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72984",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232358023",
"telephone_number": "434-572-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 HUGUENOT RD STE 303C",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "23235",
"telephone_number": "804-346-6327"
}
],
"practiceLocations": [
{
"address_1": "1191 Crawford Rd",
"address_purpose": "LOCATION",
"city": "Halifax",
"state": "VA",
"postal_code": "245582459",
"country_code": "US",
"telephone_number": "434-572-7184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILES",
"first_name": "HOLLIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710102921",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.