| Kristin L Miller, Lcsw Llc | |
|
444 Market St Saddle Brook NJ 07663-5996 | |
| (862) 222-6725 | |
| Not Available |
| Full Name | Kristin L Miller, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 444 Market St, Saddle Brook, New Jersey |
| Authorized Official Name and Position | Kristin L Miller (OWNER/THERAPIST) |
| Authorized Official Contact | 8622226725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Miller, Lcsw Llc 5 Mews Ln South Orange NJ 07079-1707 Ph: (862) 222-6725 | Kristin L Miller, Lcsw Llc 444 Market St Saddle Brook NJ 07663-5996 Ph: (862) 222-6725 |
| NPI Number | 1164972261 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Medicare PECOS PAC ID | 5698016889 |
|---|---|
| Medicare Enrollment ID | O20190417000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164972261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05290900 (New Jersey) | Primary |
| Provider Name | Kristin L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508947714 PECOS PAC ID: 5597007062 Enrollment ID: I20190502001582 |
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