Kellie L Miller is a Clinical in Caribou, Maine. Kellie L Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kellie L Miller is 1932305802. The last update date is 2019-03-10.
Kellie L Miller's current location address is Po Box 313, Caribou, Maine. You can contact this provider via phone number 2074931700 and fax number 2074931702. The mailing address for Kellie L Miller is Po Box 313, Caribou, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie L Miller |
|---|---|
| Address | Po Box 313, Caribou, Maine |
| Phone Number | 2074931700 |
| Fax Number | 2074931702 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1932305802 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2019-03-10 |
Provider Mailing Address Detail
| Address | Po Box 313 |
|---|---|
| City | Caribou |
| State | Maine (ME) |
| Post Code | 47360313 |
| Phone Number | 2074931700 |
| Fax Number | 2074931702 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC12095 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 432600099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kellie L Miller by the Centers for Medicare & Medicaid Services?
The Kellie L Miller has been assigned the NPI (National Provider Identifier) 1932305802. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kellie L Miller is geographically located?
The Kellie L Miller is physically situated at the following location: Po Box 313, Caribou, ME, 47360313.
What is the Kellie L Miller's specialty and taxonomy code?
The Kellie L Miller's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Kellie L Miller receive its 1932305802 assignment from the Centers for Medicare & Medicaid Services?
The Kellie L Miller was assigned its 1932305802 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details pertaining to Kellie L Miller last refreshed?
The information related to the Kellie L Miller, including its address, specialty, and other relevant details, was last updated on 2019-03-10.
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