GARY FREDERICK MILLER (NPI# 1871634071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871634071 |
| Entity Type | Individual |
| Full Name | GARY FREDERICK MILLER |
| Credential | MSW ACSW LICSW BCD |
| Practice Address |
624 S 13th Street P O 1188 Virginia MN 55792 |
| Mailing Address |
3203 W 3rd Ave Hibbing MN 55746 |
| Practice Telephone | 2187414714 |
| Practice Fax Number | 2187413080 |
| Mailing Telephone | 2182639237 |
| Mailing Fax Number | 2182623150 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1447 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 012R2MI | 01 | |
| OPTUM | 100559 | 01 | |
| PREFERRED ONE | 1011633 | 01 | |
| UBH | 6248702 | 01 | |
| UCARE | 115255D275 | 01 | |
| MN MEDICAL ASSISTANCE | 187317200 | 01 | |
| RAILROAD MEDICARE | P00026884 | 01 | |
| CHAMPUS | 410944710 | 01 | |
| HEALTHPARTNERS | HP31468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549371 | Gary Miller | Physical Therapist | 4238 Fox Ridge Dr, Weston, FL 33331-4003 | 2014-04-25 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1639422371 | Gary Curtis Miller | Licensed Practical Nurse | 102 S West St, Suite # 7, Carlisle, PA 17013-2857 | 2012-10-18 |
| 1649541392 | Gary L Miller | Specialist | 6 Forest Dr, Logansport, IN 46947-1650 | 2012-01-25 |
| 1720315922 | Gary D Miller | Dentist | 12520 Magnolia Blvd., Suite #205, North Hollywood, CA 91607 | 2009-11-09 |
| 1053521591 | Gary Thomas Miller | Chiropractor | 2627 E Franklin Ave, Suite 201, Minneapolis, MN 55406-1103 | 2007-05-23 |
| 1952529612 | Gary Paul Miller | Dentist | 7130 Preston Rd, Ste 100, Plano, TX 75024-3265 | 2007-04-20 |
| 1932252566 | Gary Stephen Miller | Chiropractor | 7 E Woodland Ave, Springfield, PA 19064-2310 | 2007-01-18 |
| 1770634016 | Gary Miller | Chiropractor | 2333 Camino Del Rio S Ste 230, San Diego, CA 92108-3600 | 2007-01-15 |
| 1447340112 | Gary Price Miller | Internal Medicine | 158 Executive Drive, Danville, VA 24541-4100 | 2006-10-13 |
| Street Address |
624 S 13TH STREET P O 1188 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1154484699 | Melvin Dale Newcomb | Dentist | 216 N 5th Ave, Virginia, MN 55792 | 2006-12-18 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265667646 | Francy Lynn Jenko | Social Worker | 230 1st St S Ste 110, Virginia, MN 55792-2670 | 2009-05-28 |
| 1255663142 | Kristin Gildseth Erie | Social Worker | 624 13th St S, Range Mental Healthcenter, Virginia, MN 55792-3149 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1841804432 | Taylor Elise Cravey | Social Worker | 2277 Highway 36 W Ste 160, Roseville, MN 55113-3830 | 2020-09-02 |
| 1659981124 | Meighan Rose Middleton | Social Worker | 6111 Nicollet Ave, Minneapolis, MN 55419-2560 | 2020-08-08 |
| 1114535200 | Jestine Amanda Dennis | Social Worker | 5701 Kentucky Ave N Ste 100, Crystal, MN 55428-3370 | 2020-07-15 |
| 1902421662 | Radias Health-hss/hnp | Social Worker | 166 4th St E Ste 200, Saint Paul, MN 55101-1474 | 2020-06-09 |
| 1316568991 | Amie Summers | Social Worker | 12301 Whitewater Dr Ste 135, Minnetonka, MN 55343-4104 | 2020-05-05 |
| 1720608854 | Muna Abdi Khalif | Social Worker | 3055 Old Highway 8 # 348, St Anthony, MN 55418-2500 | 2020-04-18 |
| 1750913687 | Kaltun Abdikarani | Social Worker | 584 10th Ave Sw, New Brighton, MN 55112-7606 | 2020-02-08 |
| 1407487879 | Michelle Fitzpatrick | Social Worker | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-02-03 |
| 1750927042 | Collin William Stanhope | Social Worker | 2872 26th Ave S # Doord, Minneapolis, MN 55406-1529 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARY FREDERICK MILLER.
| 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.