Individual provider Active NPI

Susan L Miller, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1932269206
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090400004 Issued in VA
Practice address
1500 N Beauregard St
Ste 240
Alexandria, VA 22311-1715
Phone
(703) 404-1936
Fax
(703) 404-2703
NPI assigned
Dec 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090400004 VA Primary

Addresses

Primary practice location

1500 N Beauregard St
Ste 240
Alexandria, VA 22311-1715

Mailing address

1500 N Beauregard St
Ste 240
Alexandria, VA 22311-1715
Phone (703) 404-1936

Other identifiers 2

IdentifierTypeStateIssuer
211632OtherANTHEM
24490001OtherCAREFIRST

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

State licenses

LicenseStateTypeSpecialty
090400004VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hawley Consulting, LLC PastSince Aug 19, 2019 Accepting new patients
M Ruth Infante MD PC Past Accepting new patients
Skyline Psychiatric Associates Inc Past Accepting new patients
Madhu Bhatia MD PC Past Accepting new patients

Organizations & group practices 4

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1932269206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST",
            "address_2": "STE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-404-1936",
            "fax_number": "703-404-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST",
            "address_2": "STE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-404-1936",
            "fax_number": "703-404-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "211632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "24490001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.