Elisa Jacqueline Miller, is a
Social Worker - Clinical based in Bayside, California. Elisa Jacqueline Miller is licensed to practice in California (license number ACSW115817) and her current practice location is
2460 Sonnenfelt Rd, Bayside, California. She can be reached at her office (for appointments etc.) via phone at
(170) 722-3980.
NPI number for Elisa Jacqueline Miller is 1306522305 and her current mailing address is 2460 Sonnenfelt Rd, Bayside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306522305.
Healthcare Provider's Profile
Full Name | Elisa Jacqueline Miller |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2460 Sonnenfelt Rd, Bayside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306522305
- Provider Enumeration Date: 06/23/2023
- Last Update Date: 06/23/2023
Medical Identifiers
Medical identifiers for Elisa Jacqueline Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306522305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ACSW115817 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisa Jacqueline Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elisa Jacqueline Miller, 2460 Sonnenfelt Rd, Bayside, CA 95524-9308 Ph: (170) 722-3980 | Elisa Jacqueline Miller, 2460 Sonnenfelt Rd, Bayside, CA 95524-9308 Ph: (170) 722-3980 |
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