Gennell Miller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200003495 Issued in DC

Practice address

1247 Greystone Rd
Halethorpe, MD 21227-2302

Phone

(301) 706-2333

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1861122186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 GREYSTONE RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272302",
            "telephone_number": "301-706-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 GREYSTONE RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272302",
            "telephone_number": "301-706-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GENNELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003495",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904018885",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Messmore, PHARMD
• Zemenu Mestesalem, FNP-C
• Helen Roberts Metkowski, NP
• Kristin Metzger, RN
• Christopher John Miller, PHARMD
• Mindsetters Counseling and Psychotherapy, LLC
• Tanuja Mishra, MD
• Leopoldine Modjo Kenmogne, MD
• Philipose Getachew Mulugeta, M.D
• Kathryn Mundi, PHARMD

• Clinical Social Worker in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.