Provider Demographics
NPI:1154698959
Name:MILLER, KARI (ASW)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:RAE
Other - Last Name:SAINTLOUIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4181
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-4181
Mailing Address - Country:US
Mailing Address - Phone:707-971-9120
Mailing Address - Fax:925-206-4961
Practice Address - Street 1:1652 W TEXAS ST
Practice Address - Street 2:135
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6066
Practice Address - Country:US
Practice Address - Phone:707-971-9120
Practice Address - Fax:925-206-4961
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23211101Y00000X, 101YM0800X, 101YP2500X, 104100000X, 1041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator