Healthcare Provider Details

I. General information

NPI: 1740341387
Provider Name (Legal Business Name): CORINA M MILLER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 01/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVENUE NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

8007 WHITTIER BLVD
BETHESDA MD
20817-3120
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-9953
  • Fax: 202-782-8396
Mailing address:
  • Phone: 301-320-6316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC302350
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: