Active NPI
Sally Barbara Miller, LICSW
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1851808364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101467
- Practice address
- 50 Cabot Street Suite 206
Plan of Massachusetts and Rhode Island
Needham, MA 02494 - Phone
- (617) 244-5552
- Fax
- (617) 795-0559
- NPI assigned
- Jan 5, 2018
- 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 | 101467 | MA | Primary |
Addresses
Primary practice location
50 Cabot Street Suite 206
Plan of Massachusetts and Rhode Island
Needham, MA 02494
Mailing address
50 Cabot Street Suite 206
Plan of Massachusetts and Rhode Island
Needham, MA 02494
Phone (617) 244-5552
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101467 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851808364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CABOT STREET SUITE 206",
"address_2": "PLAN OF MASSACHUSETTS AND RHODE ISLAND",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02494",
"telephone_number": "617-244-5552",
"fax_number": "617-795-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CABOT STREET SUITE 206",
"address_2": "PLAN OF MASSACHUSETTS AND RHODE ISLAND",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02494",
"telephone_number": "617-244-5552",
"fax_number": "617-795-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SALLY",
"middle_name": "BARBARA",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "101467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.