Amber L Miller, LICSW | |
408 Park St Se, Vienna, VA 22180-5805 | |
(703) 772-0476 | |
Not Available |
Full Name | Amber L Miller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 408 Park St Se, Vienna, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790122737 | NPI | - | NPPES |
LC50079682 | Other | DC | WASHINGTON DC LICSW SOCIAL WORK LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC50079682 (District Of Columbia) | Primary |
1041C0700X | Social Worker - Clinical | 16761 (Maryland) | Secondary |
Entity Name | Psi Services Iii, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942578133 PECOS PAC ID: 1850464660 Enrollment ID: O20120927000271 |
Mailing Address | Practice Location Address |
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Amber L Miller, LICSW 408 Park Street Se, Vienna, VA 22180 Ph: (703) 772-0476 | Amber L Miller, LICSW 408 Park St Se, Vienna, VA 22180-5805 Ph: (703) 772-0476 |
Brittany Lutz Estep, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Park St Ne, Suite 8a, Vienna, VA 22180 Phone: 571-215-1653 | |
Brian Sheaffer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Church St Nw Ste 205, Vienna, VA 22180 Phone: 571-261-7764 | |
Miss Sarah Roberts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2110 Gallows Rd Ste D, Vienna, VA 22182 Phone: 703-592-4600 | |
Sandra L Moncrief-stuart, MA, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-4928 | |
Rose Marie Mcintrye, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-2657 | |
Sarah Hagen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Park St Ne Ste 10a, Vienna, VA 22180 Phone: 703-401-8571 | |
Mr. James Robert Lippold, LCSW-0904012388 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Beulah Road, Ne, Suite 200-b, Vienna, VA 22180 Phone: 703-255-7012 Fax: 703-255-6171 |