Individual provider · Type 1 NPI

Sophie Jetta Miller, LCSW-R

Clinical Social Worker · New York, NY

NPI number 1447767058 Active

Practice location

507 West 140th Street, #43
New York, NY 10031

Mailing address

507 W 140th St Apt 43
New York, NY 10031-6118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X052228 (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 1447767058

Sophie Jetta Miller, LCSW-R's National Provider Identifier is 1447767058, issued on Jan 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jan 4, 2018.