MRS. BROOKE TAMARA MILLER (NPI# 1750726576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750726576 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE TAMARA MILLER |
| Credential | LSCSW |
| Practice Address |
6611 E Central Ave Ste C Wichita KS 67206-1937 |
| Mailing Address |
705 N Deerfield Ct Andover KS 67002-7986 |
| Practice Telephone | 3166501877 |
| Practice Fax Number | 3163587713 |
| Mailing Telephone | 3166501877 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 8520 | KS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8520 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201069800 B | 05 | |
| KS | 201069800B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002855 | Brooke Miller | Physical Therapist | 402 Oakridge Blvd, Lewisville, TX 75057-2246 | 2020-01-14 |
| 1437657517 | Brooke Brooke Miller | Behavioral Analyst | 3006 S Highland Dr, Salt Lake City, UT 84106-3020 | 2018-01-24 |
| 1821695172 | Brooke Marie Miller | Counselor | 10150 W National Ave Ste 390, Milwaukee, WI 53227-2145 | 2020-10-08 |
| 1619591559 | Brooke Mckenzie Miller | Behavior Technician | 3245 Keewahdin Rd, Fort Gratiot, MI 48059-3498 | 2020-06-06 |
| 1326660614 | Brooke Elizabeth Miller | Family Medicine | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-11 |
| 1831731447 | Brooke Miller | Adult Companion | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2019-10-15 |
| 1538714761 | Brooke Alexander Miller | Specialist/Technologist | 2302 College Ave, Conway, AR 72034-6297 | 2019-08-05 |
| 1295380475 | Brooke N Miller | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2019-08-05 |
| 1205495652 | Brooke Nicole Miller | Speech-Language Pathologist | 75 Hale St, Wilmington, OH 45177-2104 | 2019-06-10 |
| 1427614486 | Brooke Melissa Miller | Social Worker | 525 Metro Pl N, Dublin, OH 43017-5342 | 2019-05-15 |
| Street Address |
6611 E CENTRAL AVE STE C |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023191004 | Leelin Tayag Harrington | Social Worker | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2006-10-23 |
| 1174121826 | Caleb Moise Rivera | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2020-10-14 |
| 1033726336 | Brennen Smith | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2020-09-30 |
| 1700434818 | Abigail K Shinkle | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2019-09-01 |
| 1346898442 | Amanda Michele Colliatie | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2019-09-01 |
| 1689227654 | Jennifer Rachel Otis | Social Worker | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2019-07-18 |
| 1093298028 | Carly Wills | Marriage & Family Therapist | 6611 E Central Ave Ste C, Wichita, KS 67206 | 2018-09-14 |
| 1225409204 | Behavioral Health, Inc | Counselor | 6611 E Central Ave Ste C, Wichita, KS 67206-1937 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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 |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| Find all providers in WICHITA | ||||
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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.