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NPI Code Detail

MEDICARE: ERICA JOANN MILLER LCSW

MEDICARE: ERICA JOANN 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 Worker258553KY

General Provider Information

NPI Number : 1104215912
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA JOANN MILLER LCSW
Provider Business Mailing Address
First Line : 900 BEASLEY ST
Second Line : SUITE 120
City : LEXINGTON
State : KY
Zip : 40509-4266
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Provider Business Practice Location Address
First Line : 245 FOUNTAIN CT STE 225
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2794
Country : US
Telephone Number : 859-323-6021
Fax Number : 859-323-1670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2015
Last Update Date : 08/25/2025

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