Provider Demographics
NPI:1205872991
Name:MILLER, LINDA M (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SWACKHAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:1407 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9000
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012627104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2123300OtherCIGNA BEAHVIORAL HEALTH
PAO01675484Medicaid
PA125026OtherVALUE OPTIONS
PA260256OtherMAMSI
PA01098904OtherCAPITAL BLUE CROSS
PA68746OtherBC/BS OF MD CARE FIRST
PA228453000OtherMAGELLAN
PA892869OtherPABS (FEP ONLY)
PA800012154OtherMEDICARE RAILROAD
PA68746OtherBC/BS OF MD CARE FIRST
PAO01675484Medicaid