Individual provider · Type 1 NPI

Alice Rose Miller, LCSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1043361405 Active

Practice location

100 Highlands Blvd Ste 101
Port Jefferson, NY 11777-2320

Fax (631) 331-8259

Mailing address

72 Imperial Dr
Miller Place, NY 11764-3223

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X081047 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1043361405

Alice Rose Miller, LCSW's National Provider Identifier is 1043361405, issued on Jan 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 29, 2019.