Individual provider Active NPI

Hollie Miles, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1760936918
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009557 Issued in VA
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

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215001605 VA Practitioner - Clinical Social Worker 8527430842 Reassigns benefits to 2 organizations

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
Central Virginias Preferred ProvidersGroup PAC ID 1557793528, 6 clinicians

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

LicenseStateTypeSpecialty
0710102921VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Behavioral Health Clinical CurrentSince Dec 16, 2022 Accepting new patients
Changing Futures Counseling Services, LLC. CurrentSince Nov 17, 2019 Accepting new patients
Central Virginias Preferred Providers CurrentSince Apr 13, 2024 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.

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

Verify at the official NPI Registry.