Provider Demographics
NPI:1427701713
Name:MILLER, MARGARET LOUISE X (LICSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOUISE
Last Name:MILLER
Suffix:X
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:LOUISE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:802 AARON CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2514
Mailing Address - Country:US
Mailing Address - Phone:202-321-2122
Mailing Address - Fax:703-757-2270
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 214
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2574
Practice Address - Country:US
Practice Address - Phone:202-321-2122
Practice Address - Fax:703-757-2270
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3005551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty