Audrey Barbara Miller in Riverhead - Clinical

Audrey Barbara Miller - NPI 1578632287

Audrey Barbara Miller is a Clinical in Riverhead, New York. Audrey Barbara Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Audrey Barbara Miller is 1578632287. The last update date is 2020-04-14.

Audrey Barbara Miller's current location address is 21 E 2nd St Ste 105, Riverhead, New York. You can contact this provider via phone number 6313698310 and fax number 6313698310. The mailing address for Audrey Barbara Miller is 21 E 2nd St Ste 105, Riverhead, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Audrey Barbara Miller
Address 21 E 2nd St Ste 105, Riverhead, New York
Phone Number 6313698310
Fax Number 6313698310
Sole Proprietor N
Credentials LCSWR

NPI Number Detail

NPI Number 1578632287
Provider Enumeration Date 2006-11-07
Last Updated Date 2020-04-14

Provider Mailing Address Detail

Address 21 E 2nd St Ste 105
City Riverhead
State New York (NY)
Post Code 119014686
Phone Number 6313698310
Fax Number 6313698310

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R055802-1
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
270174000 NY MAGELLAN
ND740 NY EMPIRE BC BS
247701 NY VALUE OPTIONS
7043026 NY AETNA

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FAQs about Audrey Barbara Miller

What is the Audrey Barbara Miller's unique identification number?

The Audrey Barbara Miller has been assigned the NPI (National Provider Identifier) Number 1578632287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Audrey Barbara Miller?

The Audrey Barbara Miller is physically situated at 21 E 2Nd St Ste 105, in the city of Riverhead, state of NY, with the postal code 119014686.

What is Audrey Barbara Miller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Audrey Barbara Miller is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Audrey Barbara Miller receive the assignment of its 1578632287 from the Centers for Medicare & Medicaid Services?

The Audrey Barbara Miller was issued its 1578632287 by the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date were the details pertaining to Audrey Barbara Miller last refreshed?

The information related to the Audrey Barbara Miller, including its address, specialty, and other relevant details, was last updated on 2020-04-14.

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