Organization Active NPI

Ellen M. Miller, LCSW-C, LLC

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1881948503
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08314 Issued in MD
Legal business name
ELLEN M. MILLER, LCSW-C, LLC
Practice address
6320 Democracy Blvd
Bethesda, MD 20817-1664
Phone
(301) 309-8077
NPI assigned
Nov 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mrs. Ellen Marsha Miller, LCSW-CNPI 1477604338
Title
Owner
Phone
(301) 309-8077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 08314 MD Primary

Addresses

Primary practice location

6320 Democracy Blvd
Bethesda, MD 20817-1664

Mailing address

13 Le Havre CT
Potomac, MD 20854-3176
Phone (301) 309-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000296 DC Part B Supplier - Clinic/Group Practice 1153573837 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

6320 Democracy Blvd
Bethesda, MD 20817
Phone (301) 309-8077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1881948503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LE HAVRE CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543176",
            "telephone_number": "301-309-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 DEMOCRACY BLVD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171664",
            "telephone_number": "301-309-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN M. MILLER, LCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-309-8077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.