Ellen M. Miller, Lcsw-c, Llc | |
6320 Democracy Blvd Bethesda MD 20817-1664 | |
(301) 309-8077 | |
Not Available |
Full Name | Ellen M. Miller, Lcsw-c, Llc |
---|---|
Speciality | Social Worker |
Location | 6320 Democracy Blvd, Bethesda, Maryland |
Authorized Official Name and Position | Ellen Marsha Miller (OWNER) |
Authorized Official Contact | 3013098077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ellen M. Miller, Lcsw-c, Llc 13 Le Havre Ct Potomac MD 20854-3176 Ph: (301) 309-8077 | Ellen M. Miller, Lcsw-c, Llc 6320 Democracy Blvd Bethesda MD 20817-1664 Ph: (301) 309-8077 |
NPI Number | 1881948503 |
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Provider Enumeration Date | 11/02/2012 |
Last Update Date | 11/02/2012 |
Medicare PECOS PAC ID | 1153573837 |
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Medicare Enrollment ID | O20121203000296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881948503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 08314 (Maryland) | Primary |
Provider Name | Ellen Marsha Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477604338 PECOS PAC ID: 0244381929 Enrollment ID: I20090623000646 |
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