Active NPI
Katherine Rose Miller, LICSW, LADC
- Clinical Social Worker
- Lanesboro, MA
National Provider Identifier
1992004758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0000789
- Practice address
- 160 Summer St
Lanesboro, MA 01237-9520 - Phone
- (413) 443-0018
- NPI assigned
- Mar 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000448 | VT | |
| Clinical Social Worker | 1041C0700X | 089.0000789 | VT | Primary |
| Clinical Social Worker | 1041C0700X | 1020838 | MA |
Addresses
Primary practice location
160 Summer St
Lanesboro, MA 01237-9520
Mailing address
160 Summer St
PO Box 1476
Lanesboro, MA 01237-9520
Phone (413) 443-0018
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 |
|---|---|---|---|
| 000448 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 1020838 | MA | MD | Clinical Social Worker |
| 089.0000789 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1992004758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 SUMMER ST",
"address_2": "PO BOX 1476",
"city": "LANESBORO",
"state": "MA",
"postal_code": "012379520",
"telephone_number": "413-443-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 SUMMER ST",
"city": "LANESBORO",
"state": "MA",
"postal_code": "012379520",
"telephone_number": "413-443-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHERINE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LICSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-19",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000448",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0000789",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1020838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanesboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.