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NPI Code Detail

MEDICARE: SARAH MILLER LICSW

MEDICARE: SARAH MILLER LICSW
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 WorkerLC50082558DC
21041C0700XClinical Social Worker0904012601VA

General Provider Information

NPI Number : 1588265821
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MILLER LICSW
Provider Business Mailing Address
First Line : 1005 1ST ST NE APT 839
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-8194
Country : US
Telephone Number : 202-855-7743
Fax Number :
Provider Business Practice Location Address
First Line : 1350 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-1736
Country : US
Telephone Number : 202-855-7743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 11/27/2023

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