Carol Kingsley Miller, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW0002876 Issued in FL

Practice address

516 Lakeview Rd
Villa 9
Clearwater, FL 33756-3302

Phone

(727) 298-8338

Fax

(727) 298-0381

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warren Psychiatric Services PA

  • Adult Mental Health Clinic/Center
  • Clearwater, FL
  • NPI 1083784318
  NPD (past) Authorized official
• Warren Psychiatric Services

  • Non-Pharmacy Dispensing Site
  • Clearwater, FL
  • NPI 1205030517
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1962691907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD",
            "address_2": "VILLA 9",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-298-8338",
            "fax_number": "727-298-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD",
            "address_2": "VILLA 9",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-298-8338",
            "fax_number": "727-298-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROL",
        "middle_name": "KINGSLEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW0002876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "Z5740Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Millar, LCSW
• Miller Chiropractic & Medical Centers, Inc.
• Sarah Miller-Marossy
• Alexis Miller
• Alexis Miller
• Chelsea Miller, LMHC
• Christine P Miller, DPM
• Lauren Miller
• Matthew Kingsford Miller, DPM
• Mitchell B Miller, M.D.

• Social Worker in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.