Healthcare Provider Details

I. General information

NPI: 1558492132
Provider Name (Legal Business Name): ANN HELEN MILLER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MOUNT HOPE AVE
PROVIDENCE RI
02906-1648
US

IV. Provider business mailing address

131 ROGERS AVE
BARRINGTON RI
02806-1140
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-6310
  • Fax: 401-421-3280
Mailing address:
  • Phone: 401-274-6310
  • Fax: 401-421-3280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1SW00689
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1SW00689
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: