Individual provider Active NPI

Aisha Rehana Azhar Miller, LCSW

  • Clinical Social Worker
  • Maitland, FL
National Provider Identifier
1871917146
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9841 Issued in FL
Practice address
1681 N Maitland Ave
Maitland, FL 32751-3319
Phone
(321) 287-3800
NPI assigned
Feb 7, 2014
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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 SW9841 FL Primary

Addresses

Primary practice location

1681 N Maitland Ave
Maitland, FL 32751-3319

Mailing address

1681 N Maitland Ave
Maitland, FL 32751-3319

Other names 1

  • Aisha Rehana Azhar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221027001167 FL Practitioner - Clinical Social Worker 0941677348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Univ of Central Florida, College of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Everyones Counseling Center, Inc.Group PAC ID 4486963766, 19 clinicians

Practice addresses (Care Compare)

1600 E Robinson St
Suite 250
Orlando, FL 32803-5955
Phone (407) 423-3327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everyone's Counseling Center, Inc. CurrentSince Oct 20, 2022 Accepting new patients

Locations

1600 E Robinson St
Ste 250
Orlando, FL 32803
Phone (407) 423-3327

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1871917146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513319",
            "telephone_number": "321-287-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AISHA",
        "middle_name": "REHANA AZHAR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AISHA",
            "last_name": "AZHAR",
            "middle_name": "REHANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.