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NPI Code Detail

MEDICARE: SUZANNE L MILLER LCSW

MEDICARE: SUZANNE L MILLER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC00601200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P-435707OTHERNJOXFORD ID
37908369OTHERNJAETNA ID
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5017236OTHERNJMHN ID
6145813 000OTHERNJMAGELLAN ID

General Provider Information

NPI Number : 1033120878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE L MILLER LCSW
Provider Business Mailing Address
First Line : 110 MAIN AVE
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-4427
Country : US
Telephone Number : 973-777-7638
Fax Number : 973-777-9311
Provider Business Practice Location Address
First Line : 110 MAIN AVE
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-4427
Country : US
Telephone Number : 973-777-7638
Fax Number : 973-777-9311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 11/24/2020

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