Provider Demographics
NPI:1184614133
Name:MILLER, CARL SCOTT (LCSW, BCD, PHD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:SCOTT
Last Name:MILLER
Suffix:
Gender:M
Credentials:LCSW, BCD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 SUGAR LAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2966
Mailing Address - Country:US
Mailing Address - Phone:830-627-8953
Mailing Address - Fax:
Practice Address - Street 1:51 MDOS/SGOH
Practice Address - Street 2:UNIT 2060
Practice Address - City:OSAN AB
Practice Address - State:UNK
Practice Address - Zip Code:APO AP 962782060
Practice Address - Country:KR
Practice Address - Phone:784-2148
Practice Address - Fax:784-2630
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical