Healthcare Provider Details

I. General information

NPI: 1992440713
Provider Name (Legal Business Name): SLOAN MILLER LSW
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 STEUBENVILLE AVE
CAMBRIDGE OH
43725-2301
US

IV. Provider business mailing address

1033 N HIGH ST
COLUMBUS OH
43201-2409
US

V. Phone/Fax

Practice location:
  • Phone: 855-692-7247
  • Fax:
Mailing address:
  • Phone: 614-340-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2410451
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: