Active NPI
Lisa F Miller, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1902233919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 039880
- Practice address
- 201 E 80TH St
Suite 11C
New York, NY 10075-0511 - Phone
- (212) 369-9416
- NPI assigned
- Oct 4, 2013
- Reactivated
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 039880 | NY | Primary |
Addresses
Primary practice location
201 E 80TH St
Suite 11C
New York, NY 10075-0511
Mailing address
201 E 80TH St
Suite 11C
New York, NY 10075-0511
Phone (212) 369-9416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039880 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1902233919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 80TH ST",
"address_2": "SUITE 11C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750511",
"telephone_number": "212-369-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 80TH ST",
"address_2": "SUITE 11C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750511",
"telephone_number": "212-369-9416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"deactivation_date": "2021-09-13",
"reactivation_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "039880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.