Healthcare Provider Details

I. General information

NPI: 1467726349
Provider Name (Legal Business Name): ASHLEY D MILLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 STANLEY ST
NAUGATUCK CT
06770-3019
US

IV. Provider business mailing address

21 STANLEY ST
NAUGATUCK CT
06770-3019
US

V. Phone/Fax

Practice location:
  • Phone: 203-565-7058
  • Fax: 203-565-7058
Mailing address:
  • Phone: 203-721-8108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: