Active NPI
Sheila M Miller, LICSW
- Clinical Social Worker
- Richfield, MN
National Provider Identifier
1811965353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4148
- Practice address
- 6425 Nicollet Ave
Richfield, MN 55423-1675 - Phone
- (612) 861-1675
- Fax
- (612) 861-3446
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4148 | MN | Primary |
Addresses
Primary practice location
6425 Nicollet Ave
Richfield, MN 55423-1675
Mailing address
701 Decatur Ave N
Golden Valley, MN 55427-4367
Phone (763) 746-2400
Other practice location 1
5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Phone (763) 569-5200
Other practice location 2
701 Decatur Ave N
Golden Valley, MN 55427-4367
Phone (763) 746-2400 ext. 2423
Other practice location 3
1001 Highway 7 Ste 309
Hopkins, MN 55305-4737
Phone (952) 426-6601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544115300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4148 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1811965353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 DECATUR AVE N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274367",
"telephone_number": "763-746-2400",
"fax_number": "763-746-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 NICOLLET AVE",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554231675",
"telephone_number": "612-861-1675",
"fax_number": "612-861-3446"
}
],
"practiceLocations": [
{
"address_1": "5910 Shingle Creek Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn Center",
"state": "MN",
"postal_code": "554302322",
"country_code": "US",
"telephone_number": "763-569-5200",
"fax_number": "763-569-5201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Decatur Ave N",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554274367",
"country_code": "US",
"telephone_number": "763-746-2400 x2423",
"fax_number": "763-746-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Highway 7 Ste 309",
"address_purpose": "LOCATION",
"city": "Hopkins",
"state": "MN",
"postal_code": "553054737",
"country_code": "US",
"telephone_number": "952-426-6601",
"fax_number": "952-938-4708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "SHEILA",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "4148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544115300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.