Jay Stuart Miller, LCSW
Individual provider Active NPI Clinical Social Worker · Reedsville, PA
NPI 1922197847 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922197847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CW013530 (PA)
- Practice address
- 105 Meadow Woods LN
Reedsville, PA 17084-9311 - Phone
- (717) 667-6704
- Fax
- (717) 667-9911
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW013530 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Behavioral Healthcare Group Inc | Past | Accepting new patients | |
| Senior Behavioral Healthcare Group, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW013530 | PA | Yes |
Addresses
Primary practice location
105 Meadow Woods LN
Reedsville, PA 17084-9311
Mailing address
105 Meadow Woods LN
Reedsville, PA 17084-9311
Phone (717) 667-6704
Other providers in Reedsville, PA
- Stephanie Michelle Leeper
- Caroline Rose McAllister
- Moira Shea Alene McKinley
- William Kyle McNitt
- Michael J. Murray M.D.
- Shawn Miller
- Mount Nittany Medical Center
- Michael John Murray
- John J Pelizzari
- Michael Paul Popernack
All providers in Reedsville, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.