Active NPI
Ray Wayne Miller, LCSW
- Clinical Social Worker
- Breaux Bridge, LA
National Provider Identifier
1912155805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW #4594
- Practice address
- 319 Robbie Rd
Breaux Bridge, LA 70517-6475 - Phone
- (337) 322-3030
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- 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 | LCSW #4594 | LA | Primary |
Addresses
Primary practice location
319 Robbie Rd
Breaux Bridge, LA 70517-6475
Mailing address
319 Robbie Rd
Breaux Bridge, LA 70517-6475
Phone (337) 322-3030
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 |
|---|---|---|---|
| 4594 | LA | MD | Professional Counselor |
| LCSW #4594 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- raymiller@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1912155805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 ROBBIE RD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705176475",
"telephone_number": "337-322-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 ROBBIE RD",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705176475",
"telephone_number": "337-322-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RAY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "LCSW #4594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.