Miss Amanda G Miller, LCSW | |
60 Mercy Ct, Irvine, KY 40336-1331 | |
(606) 726-2151 | |
(606) 726-2149 |
Full Name | Miss Amanda G Miller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 60 Mercy Ct, Irvine, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871869198 | NPI | - | NPPES |
7100499680 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5017 (Kentucky) | Primary |
104100000X | Social Worker | 5017 (Kentucky) | Secondary |
Entity Name | Sterling Health Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366790099 PECOS PAC ID: 9436301686 Enrollment ID: O20121214000279 |
Mailing Address | Practice Location Address |
---|---|
Miss Amanda G Miller, LCSW 236 W Main St, Mount Sterling, KY 40353-1348 Ph: (859) 404-7686 | Miss Amanda G Miller, LCSW 60 Mercy Ct, Irvine, KY 40336-1331 Ph: (606) 726-2151 |
Sherry Dillon, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Stacy Lane Rd, Irvine, KY 40336 Phone: 606-723-0665 | |
Christen Goosey, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Round Mountain Rd, Irvine, KY 40336 Phone: 606-643-9525 | |
Stephen Coonrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Stacy Lane Rd, Irvine, KY 40336 Phone: 606-723-0665 |