Kellie Patchen Miller, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SWB-2024-0556 Issued in NM

Practice address

901 Rio Grande Blvd NW Ste H160
Albuquerque, NM 87104-2063

Phone

(505) 278-0807

NPI assigned

Mar 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Ann Patchen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1790487916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 ROMA AVE NE APT 20",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081375",
            "telephone_number": "575-631-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE H160",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042063",
            "telephone_number": "505-278-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLIE",
        "middle_name": "PATCHEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-0556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "PATCHEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Elizabeth Miller, LMHC
• Jill Miller
• Joseph Leon Miller Jr., LISW
• Justin Tate Miller, M.D.
• Kathryn Miller, MD
• Kimberly Miller, MA, CCC-A
• Larissa Shantaa Miller, LSAA
• Laura Miller
• Leighton Thomas Miller, DDS
• Leslie Anne Miller, OTR/L

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.