Melissa Miller, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3681 Green Rd Ste 404
Beachwood, OH 44122-5716

Phone

(440) 263-6343

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Gardner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hillary Schultz Therapy

  • Professional Counselor
  • Beachwood, OH
  • NPI 1013430826

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1942773031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 HIGH POINT CT",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342041",
            "telephone_number": "440-263-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "440-263-6343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 High Point Ct",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441342041",
            "country_code": "US",
            "telephone_number": "440-263-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "credential": "LISW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GARDNER",
            "credential": "LSW, LCDC III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna Miller, PT
• Jacqueline Miller
• Kristina Miller
• Leah Marie Miller, B.S., R.D., L.D.
• Leanna Miller
• Sierra Miller
• Tammy Miller, LSW
• William Standish Miller, PHD
• Jessica Milliman, DPM
• Mills Medical Practices, LLC

• Clinical Social Worker in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.