Mark Edison Miller in Indianapolis - Clinical
Mark Edison Miller - NPI 1154410777
Mark Edison Miller is a Clinical in Indianapolis, Indiana. Mark Edison Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Edison Miller is 1154410777. The last update date is 2007-07-08.
Mark Edison Miller's current location address is 1481 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3179882501 and fax number 3179883243. The mailing address for Mark Edison Miller is 1481 W 10th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edison Miller |
|---|---|
| Address | 1481 W 10th St, Indianapolis, Indiana |
| Phone Number | 3179882501 |
| Fax Number | 3179883243 |
| Sole Proprietor | N |
| Credentials | SOCIAL WOR |
NPI Number Detail
| NPI Number | 1154410777 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1481 W 10th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462022803 |
| Phone Number | 3179882501 |
| Fax Number | 3179883243 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003626A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Mark Edison Miller's unique identification number?
The Mark Edison Miller has been assigned the NPI (National Provider Identifier) Number 1154410777 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Mark Edison Miller is physically located?
The Mark Edison Miller is situated at the following address: 1481 W 10Th St, Indianapolis, IN 462022803.
What is the Mark Edison Miller's specialty and taxonomy code?
The Mark Edison Miller's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Mark Edison Miller's 1154410777 issued?
The Mark Edison Miller's 1154410777 was issued on 2006-10-12.
As of what date was the information regarding Mark Edison Miller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Edison Miller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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