TRACY LEE MILLER (NPI# 1184879728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184879728 |
| Entity Type | Individual |
| Full Name | TRACY LEE MILLER |
| Credential | LCSW |
| Practice Address |
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302 |
| Practice Telephone | 9377070322 |
| Mailing Telephone | 9377070322 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW12723 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247189 | Tracy Miller | Dietitian, Registered | 15837 Paul Vega Drive, Suite 200, Ideal You, Hammond, LA 70404-2668 | 2017-07-11 |
| 1609122118 | Tracy Ann Miller | Nurse Practitioner | 161 Riverside Dr Ste 109, Binghamton, NY 13905-4178 | 2012-08-02 |
| 1275656050 | Tracy J Miller | Occupational Therapist | 311 E Baltimore Ave, Suite 100a, Media, PA 19063-3507 | 2007-04-09 |
| 1962420133 | Tracy Renee Miller | Counselor | 4055 Nw 105th St, Ocala, FL 34482-1434 | 2006-07-17 |
| 1649871716 | Tracy Miller | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| 1356729537 | Tracy Miller | Licensed Practical Nurse | 2043 Military Rd, Niagara Falls, NY 14304-1724 | 2015-05-08 |
| 1114153947 | Tracy Miller | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-06-08 |
| 1821216201 | Tracy Ann Miller | Physical Therapy Assistant | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2007-04-23 |
| 1588787204 | Tracy Miller | Occupational Therapist | 4560 South Blvd, Suite 310, Virginia Beach, VA 23452-1160 | 2007-04-09 |
| 1316073463 | Tracy Suzzanne Miller | Internal Medicine | 3950 Kresge Way, Suite 308, Louisville, KY 40207-4637 | 2007-02-25 |
| Street Address |
307 BOATNER RD STE 114 |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111453 | Thomas James Cantilina | Family Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2005-08-23 |
| 1861009466 | Patricia Allison Kellogg | Dietitian, Registered | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-09-28 |
| 1396367389 | Matthew Christopher Little | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-05-12 |
| 1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
| 1447885181 | Deserea Marie Shoemaker | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1282 | 2020-03-03 |
| 1457985764 | Anaya Baeza | Nurse Practitioner | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-02-25 |
| 1043853435 | Sandra K Hoffa | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-10-18 |
| 1861042624 | Amy W Snow | Pharmacist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-09-13 |
| 1760042501 | Alison Natalie Snyder | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-06-14 |
| 1689237232 | Clint Copeland | Physical Therapist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043853435 | Sandra K Hoffa | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-10-18 |
| 1063060507 | Erin Ballou | Social Worker | 100 Veterans Way, Eglin Afb, FL 32542-1038 | 2019-08-28 |
| 1740759133 | Rhonda Mailman | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2018-11-15 |
| 1164918249 | Sarah S Ceva | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2018-07-02 |
| 1134626971 | Amy Marie Rauch Labounty | Social Worker | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2018-04-09 |
| 1386199669 | Amber Merefield | Social Worker | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2016-08-17 |
| 1518411495 | Anne Rose Alve | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-08-09 |
| 1033588744 | Adena N Broxton | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2015-09-23 |
| 1265815625 | Stephen Richard Morgano | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2015-07-02 |
| 1124421219 | Bradley Ervin | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2014-10-02 |
| Find all providers in EGLIN AFB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.