Provider Demographics
NPI:1396158374
Name:MILHAM, CARRIE ANNE NANCY (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:CARRIE ANNE
Middle Name:NANCY
Last Name:MILHAM
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 ROUTE 146
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3644
Mailing Address - Country:US
Mailing Address - Phone:518-810-7028
Mailing Address - Fax:518-750-0583
Practice Address - Street 1:1023 NY RT 146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-1206
Practice Address - Country:US
Practice Address - Phone:518-810-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0871661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical