MEDICARE: CAITLIN MILLER APSW

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	104100000X	Social Worker	132701-121	WI

General Provider Information

NPI Number	:	1659003150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN MILLER APSW

Provider Business Mailing Address
First Line	:	654 W WASHINGTON AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-2638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	654 W WASHINGTON AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-2638
Country	:	US
Telephone Number	:	608-257-9700
Fax Number	:

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

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	06/24/2022

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Directions to “ CAITLIN MILLER APSW” Practice Location

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