Amanda G Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5017 Issued in KY

Practice address

60 Mercy CT
Irvine, KY 40336-1331

Phone

(606) 726-2151

Fax

(606) 726-2149

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.miller.1@25737.direct.athenahealth.com

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.

• Sterling Health Solutions, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Sterling, KY
  • NPI 1366790099
  Medicare reassignment

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1871869198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERCY CT",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361331",
            "telephone_number": "606-726-2151",
            "fax_number": "606-726-2149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "KY",
            "postal_code": "403802224",
            "country_code": "US",
            "telephone_number": "606-663-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5017",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100499680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Health-Marcum & Wallace Hospital LLC
• Mercy Health-Marcum & Wallace Hospital LLC
• Mercy Health-Marcum & Wallace Hospital LLC
• Mercy Health-Marcum & Wallace Hospital LLC
• Mercy Health-Marcum & Wallace Hospital LLC
• Bryan Miller, MSPT
• Karen R Miller, OTR/L
• Lee Dan Miller, R.PH.
• Rebecca Miller, PTA
• Rebecca Erin Miller, RN

• Clinical Social Worker in Irvine, KY
• Providers in Irvine, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.