Active NPI
Patricia L Milliken, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1992852420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013120
- Practice address
- 525 S 4TH St
Suite 592
Philadelphia, PA 19147-1570 - Phone
- (215) 925-1622
- Fax
- (215) 334-4441
- NPI assigned
- Jan 5, 2007
- 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 | CW013120 | PA | Primary |
Addresses
Primary practice location
525 S 4TH St
Suite 592
Philadelphia, PA 19147-1570
Mailing address
525 S 4TH St
Suite 592
Philadelphia, PA 19147-1570
Phone (215) 925-1622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07825088 | Medicaid | PA | |
| 0893989000 | Other | PA | PERSONAL CHOICE |
| 4653065 | Other | PA | AETNA |
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 |
|---|---|---|---|
| CW013120 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992852420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S 4TH ST",
"address_2": "SUITE 592",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471570",
"telephone_number": "215-925-1622",
"fax_number": "215-334-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S 4TH ST",
"address_2": "SUITE 592",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471570",
"telephone_number": "215-925-1622",
"fax_number": "215-334-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKEN",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07825088",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0893989000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4653065",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.