Jennifer Miller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010115 Issued in VA

Practice address

9850 Lori Rd Ste 101
Chesterfield, VA 23832-6758

Phone

(804) 621-4034

Fax

(804) 621-4091

NPI assigned

Feb 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912366576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 SHAGREEN CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385126",
            "telephone_number": "410-596-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 LORI RD STE 101",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326758",
            "telephone_number": "804-621-4034",
            "fax_number": "804-621-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Youree Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043600",
            "country_code": "US",
            "telephone_number": "318-742-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "13034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pfab & Ana Raika PC
• Michael Pfab PC
• Jennifer Jan Mihelic, DO
• Amy Dianne Miller, LPC
• Austin Elizabeth Miller, COTA/L
• Mark S Miller, L.P.C.
• Celeste B Minar, L.P.C.
• Mind & Body at Home Living Services
• Mindful Intentions, LLC
• Minds of Excellence LLC

• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.