MEDICARE: DANIELLE DENISE MILLER

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
1	1041C0700X	Clinical Social Worker	31429	MD

General Provider Information

NPI Number	:	1497624589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE DENISE MILLER

Provider Business Mailing Address
First Line	:	1989 PATRIOT ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-9201
Country	:	US
Telephone Number	:	443-850-8633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1989 PATRIOT ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17408-9201
Country	:	US
Telephone Number	:	443-850-8633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/05/2025

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Directions to “ DANIELLE DENISE MILLER ” Practice Location

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