Active NPI
Ellen M. Miller, LCSW-C, LLC
- Clinical Social Worker
- Bethesda, MD
National Provider Identifier
1881948503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08314
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ellen Marsha Miller, LCSW-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.