Provider Demographics
NPI:1629804265
Name:MILLER, EMILY FAYE (MSW, LMSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FAYE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 GUTHRIE AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5908
Mailing Address - Country:US
Mailing Address - Phone:651-955-8313
Mailing Address - Fax:
Practice Address - Street 1:225 W 60TH ST PH 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7433
Practice Address - Country:US
Practice Address - Phone:651-955-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical