Active NPI
Pamela Miller, LCSW
- Clinical Social Worker
- Anchorage, AK
National Provider Identifier
1902254980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSWS959
- Practice address
- 380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518 - Phone
- (907) 717-9180
- NPI assigned
- May 31, 2016
- Last updated
- Jun 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSWS959 | AK | Primary |
| Clinical Social Worker | 1041C0700X | 6105 | WI | |
| Clinical Social Worker | 1041C0700X | 149002689 | IL |
Addresses
Primary practice location
380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518
Mailing address
380 E 11TH Ave Unit 326
Anchorage, AK 99501-6518
Phone (907) 717-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSWS959 | AK | MD | Clinical Social Worker |
| 149002689 | IL | MD | Clinical Social Worker |
| 6105 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cordova Community Medical Center | Current | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cordova-527880fe
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.
-
- Critical Access Hospital
- Cordova, AK
- NPI 1215035787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1902254980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E 11TH AVE UNIT 326",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995016518",
"telephone_number": "907-717-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E 11TH AVE UNIT 326",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995016518",
"telephone_number": "907-717-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "CSWS959",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6105",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149002689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.