Provider Demographics
NPI:1912675604
Name:MILLER, ELIZABETH PARKER (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:PARKER
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-3201
Mailing Address - Country:US
Mailing Address - Phone:203-904-6424
Mailing Address - Fax:
Practice Address - Street 1:5 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-3201
Practice Address - Country:US
Practice Address - Phone:203-904-6424
Practice Address - Fax:203-544-9264
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0038491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical