Provider Demographics
NPI:1255718409
Name:MILLER, KATHERINE KLEIN (LCSW-A)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KLEIN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BLUE DAMSEL CT
Mailing Address - Street 2:
Mailing Address - City:BILTMORE LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8905
Mailing Address - Country:US
Mailing Address - Phone:603-858-4120
Mailing Address - Fax:
Practice Address - Street 1:12 BLUE DAMSEL CT
Practice Address - Street 2:
Practice Address - City:BILTMORE LAKE
Practice Address - State:NC
Practice Address - Zip Code:28715-8905
Practice Address - Country:US
Practice Address - Phone:603-858-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical