Provider Demographics
NPI:1326567603
Name:MILLER, NANCY KNIGHT (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KNIGHT
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 S WOODLAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-7170
Mailing Address - Country:US
Mailing Address - Phone:219-879-8580
Mailing Address - Fax:219-809-0254
Practice Address - Street 1:1411 S WOODLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-7170
Practice Address - Country:US
Practice Address - Phone:219-879-8580
Practice Address - Fax:219-809-0254
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01974-C1041C0700X
IN34004464A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical