Provider Demographics
NPI:1831755909
Name:MILLER-UUEDA, ANNE (MSS, LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MILLER-UUEDA
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSS, LSW
Mailing Address - Street 1:128 CHESTNUT ST STE 303
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3024
Mailing Address - Country:US
Mailing Address - Phone:215-399-4128
Mailing Address - Fax:
Practice Address - Street 1:128 CHESTNUT ST STE 303
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3024
Practice Address - Country:US
Practice Address - Phone:215-399-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0204221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty