Active NPI
Pamela Noel Miller
- Clinical Social Worker
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801119437
- Practice address
- 440 Woodward Ave
Iron Mountain, MI 49801-4631 - Phone
- (906) 776-9040
- NPI assigned
- Oct 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-5072 | HI | |
| Clinical Social Worker | 1041C0700X | 6801119437 | MI | Primary |
Addresses
Primary practice location
440 Woodward Ave
Iron Mountain, MI 49801-4631
Mailing address
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Other practice location 1
1 Jarrett White Rd
Tripler Amc, HI 96859-5001
Phone (808) 433-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NH, WI, HI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-5072 | HI | MD | Clinical Social Worker |
| 6801119437 | MI | MD | Clinical Social Worker |
| 5189 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc. | Current | Accepting new patients | |
| Elliot Professional Services | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Clinical | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Elliot Professional Services | Past | Accepting new patients |
Locations
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Escanaba, MI
- NPI 1801150206
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
Clinical
-
- Psychiatry Physician
- Manchester, NH
- NPI 1669431466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1932675436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER AMC",
"state": "HI",
"postal_code": "968595001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WOODWARD AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014631",
"telephone_number": "906-776-9040"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Amc",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-5072",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801119437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.