Active NPI
Jenifer L Miller, M.A.
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1922480409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12142
- Practice address
- Hennepin County Emh Crisis Services
525 Portland Avenue, MC 963
Minneapolis, MN 55415 - Phone
- (612) 348-2233
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 12142 | MN | Primary |
Addresses
Primary practice location
Hennepin County Emh Crisis Services
525 Portland Avenue, MC 963
Minneapolis, MN 55415
Mailing address
Hennepin County Emh Crisis Services
525 Portland Avenue, MC 963
Minneapolis, MN 55415
Phone (612) 348-2233
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12142 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1922480409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENNEPIN COUNTY EMH CRISIS SERVICES",
"address_2": "525 PORTLAND AVENUE, MC 963",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-348-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENNEPIN COUNTY EMH CRISIS SERVICES",
"address_2": "525 PORTLAND AVENUE, MC 963",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-348-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENIFER",
"middle_name": "L",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "12142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.