MEDICARE: MRS. OLIVIA S. MILLER LISW-CP

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

General Provider Information

NPI Number	:	1598477812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA S. MILLER LISW-CP

Provider Business Mailing Address
First Line	:	141 TRACTION ST # 2149
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-4725
Country	:	US
Telephone Number	:	864-209-1809
Fax Number	:	864-794-3914

Provider Business Practice Location Address
First Line	:	141 TRACTION ST # 2149
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-4725
Country	:	US
Telephone Number	:	864-209-1809
Fax Number	:	864-794-3914

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

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	05/12/2025

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