KELLY M MILLER (NPI# 1447494844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447494844 |
| Entity Type | Individual |
| Full Name | KELLY M MILLER |
| Other Name | KELLY DEMPSTER |
| Credential | LCSW |
| Practice Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Mailing Address |
Po Box 4131 Yalesville CT 06492-1481 |
| Practice Telephone | 2032841340 |
| Practice Fax Number | 2032654557 |
| Mailing Telephone | 2032841340 |
| Mailing Fax Number | 2032654557 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006446 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678810 | Kelly Miller | Technician | 1030 Chapline St Apt 414, Wheeling, WV 26003-2947 | 2020-08-03 |
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1144710799 | Kelly Sue Miller | Nurse Practitioner | 5500 Armstrong Rd Rm 201, Battle Creek, MI 49037-7314 | 2018-05-18 |
| 1700386356 | Kelly Miller | Registered Nurse | 521 Ethan Dr, Weatherford, TX 76087-3307 | 2018-02-20 |
| 1518471259 | Kelly Miller | Licensed Practical Nurse | 22223 N 1525 East Rd, Danville, IL 61834-8200 | 2017-11-16 |
| 1306297049 | Kelly Rita Miller | Behavioral Analyst | 2267 Cabana Club Court #204, Tampa, FL 33612 | 2016-06-23 |
| 1265892822 | Kelly Miller | Behavioral Analyst | 526 Holly Knoll Rd, Hockessin, DE 19707-9749 | 2016-02-25 |
| 1609266865 | Kelly Michaels Miller | Social Worker | 23 Groves Ave, Alexandria, VA 22305-2508 | 2015-01-27 |
| 1710321948 | Kelly A Miller | Social Worker | 2000 Arapahoe Suite 305, Denver, CO 80205 | 2013-04-18 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| Street Address |
435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595874 | Dean John Mariano | Anesthesiology | 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 | 2005-08-17 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1396394722 | Barbara J Spremullo | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-09-09 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1417414038 | Max Pianka | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-03-01 |
| 1114482882 | Nems Pllc | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-02-06 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1285111443 | Melissa Alvarez | Registered Nurse | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1164039004 | Megan Gervais | Social Worker | 34 Runge Dr, Meriden, CT 06451-2769 | 2020-09-24 |
| 1144876723 | Jeffrey Gagliardi | Social Worker | 77 Godek Hill Rd, Meriden, CT 06451-5075 | 2019-08-10 |
| 1831757970 | Marissa Parker | Social Worker | 51 Meadow Brook Dr, Meriden, CT 06450-2576 | 2019-06-04 |
| 1487171989 | Finish Right Pllc | Social Worker | 212 Colony St Ste 1a, Meriden, CT 06451-3227 | 2017-08-24 |
| 1235670035 | Natacha Kerelejza | Social Worker | 43 Retreat Ave, Meriden, CT 06451-2821 | 2017-03-13 |
| 1730581612 | Megan Czaja | Social Worker | 158 Paddock Ave Apt 105, Meriden, CT 06450-6973 | 2014-09-22 |
| 1306247903 | Lauren Annino | Social Worker | 31 Terrace Gdns, Meriden, CT 06451-5348 | 2014-09-15 |
| 1639509573 | Jennifer Lamb | Social Worker | 100 S Dawson St, Meriden, KS 66512-9586 | 2013-11-13 |
| 1699101279 | Ariel G Blau | Social Worker | 538 Preston Ave, Meriden, CT 06450-4851 | 2013-09-16 |
| 1992994321 | David Anthony Smith | Social Worker | 21 Carpenter Hts, Meriden, CT 06450-6108 | 2007-10-22 |
| Find all providers in MERIDEN | ||||
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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.