Look up the most recent NPI and PECOS records

Carly Miller

Social Worker

Behavioral Health & Social Service Providers

729 Thimble Shoals Blvd Ste 3a, Newport News, VA 23606-4217

PECOS Enrollment

Based on the most recent information from CMS, provider Carly Miller is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1336988047
Provider Type
Individual
Full Name
Miller, Carly
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/22/2024
Last Updated
5/22/2024

Contact Information

Practice Location

729 Thimble Shoals Blvd Ste 3a, Newport News, VA 23606-4217

(703) 586-0867

Unlisted Fax

Mailing Location

729 Thimble Shoals Blvd Ste 3a, Newport News, VA 23606-4217

(703) 586-0867

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904012371 Virginia

Carly Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Franklin, Nina

Lee, Jarvis D

Johnson, Tonya

Garland, Desaray

Evans, Katherine Marie

Dean Vines Enterprises

Persons, Kathryn Jane

Walls, Julie

Shea, Ady

Harris, Cameo Tuesday