Provider Demographics
NPI:1669482956
Name:MILLER, NANCY N (LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:N
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 SE BUTTONWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7506
Mailing Address - Country:US
Mailing Address - Phone:772-475-3842
Mailing Address - Fax:772-219-8974
Practice Address - Street 1:200 SW ALBANY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2030
Practice Address - Country:US
Practice Address - Phone:772-475-3842
Practice Address - Fax:772-219-8974
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 39321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL283795OtherHARMONY BEHAVIORAL HEALTH
FLZ6926OtherBCBS
FL246825OtherCOMPSYCH