Active NPI
Julie Annmarie Miller, MSW, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1952589780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO4601
- Practice address
- 3904 Oleander Dr
Suite 101
Wilmington, NC 28403-6717 - Phone
- (910) 790-9500
- Fax
- (910) 796-8111
- NPI assigned
- Feb 4, 2008
- 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 | COO4601 | NC | Primary |
Addresses
Primary practice location
3904 Oleander Dr
Suite 101
Wilmington, NC 28403-6717
Mailing address
3904 Oleander Dr
Suite 101
Wilmington, NC 28403-6717
Phone (910) 790-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152P6 | Other | NC | BCBSNC |
| 6007259 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO4601 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1952589780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 OLEANDER DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036717",
"telephone_number": "910-790-9500",
"fax_number": "910-796-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 OLEANDER DR",
"address_2": "SUITE 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036717",
"telephone_number": "910-790-9500",
"fax_number": "910-796-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JULIE",
"middle_name": "ANNMARIE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO4601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "152P6",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007259",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.