Individual provider Active NPI

Laura J Miller, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1801039888
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8283 Issued in SC
Practice address
409 Evelyn Dr
Columbia, SC 29210-5212
Phone
(803) 216-0850
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 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 8283 SC Primary

Addresses

Primary practice location

409 Evelyn Dr
Columbia, SC 29210-5212

Mailing address

2248 S Lake Dr
Lexington, SC 29073-7764
Phone (803) 361-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130403000505 SC Practitioner - Clinical Social Worker 1951551134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Behavioral Healthcare LLCGroup PAC ID 7315192903, 13 clinicians

Practice addresses (Care Compare)

409 Evelyn Dr
Columbia, SC 29210-5212
Phone (803) 216-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8283SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Behavioral Healthcare, LLC Clinical CurrentSince Jan 1, 2013 Accepting new patients
Deep Roots Therapy, LLC Clinical PastSince Jan 1, 2013 Accepting new patients

Locations

409 Evelyn Dr
Columbia, SC 29210
Phone (803) 216-0850

Organizations & group practices 2

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1801039888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737764",
            "telephone_number": "803-361-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EVELYN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105212",
            "telephone_number": "803-216-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.