Provider Demographics
NPI:1790712768
Name:MILLER, VIRGINIA (LICSW)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:MILLER
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 CASE AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-4156
Mailing Address - Country:US
Mailing Address - Phone:401-835-0008
Mailing Address - Fax:888-651-6430
Practice Address - Street 1:70 CASE AVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-4156
Practice Address - Country:US
Practice Address - Phone:401-835-0008
Practice Address - Fax:888-651-6430
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW013811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI228804OtherBLUE CROSS BLUE SHIELD
RI62OtherUNITED HEALTHCARE