Provider Demographics
NPI:1306730551
Name:CARRIE ANNE MILHAM LICENSED CLINICAL SOCIAL WORKER P.C.
Entity type:Organization
Organization Name:CARRIE ANNE MILHAM LICENSED CLINICAL SOCIAL WORKER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE ANNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MILHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-810-7028
Mailing Address - Street 1:1023 ROUTE 146
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3644
Mailing Address - Country:US
Mailing Address - Phone:518-810-7028
Mailing Address - Fax:518-750-0583
Practice Address - Street 1:1023 ROUTE 146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3644
Practice Address - Country:US
Practice Address - Phone:518-810-7028
Practice Address - Fax:518-750-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health