MS. PHYLLIS WARDRETT MILLER MSWLCSW NPI 1053692848

NPI Information

NPI: 1053692848
Provider Name: MS. PHYLLIS WARDRETT MILLER, MSW,LCSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address: 204 CHURCH ST
DECATUR, GA
ZIP 30030
Phone: (404) 626-9690

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NPI Details

MS. Phyllis Wardrett Miller, MSW,LCSW is a social worker in Decatur, GA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MS. Phyllis Wardrett Miller, MSW,LCSW NPI is 1053692848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 CHURCH ST
DECATUR, GA
ZIP 30030-328
Phone: (404) 626-9690
Fax: (404) 377-5644

The enumeration date for this NPI number is 9/7/2011 and was last updated on 11/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		CSW000649	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3561762	OTHER		CIGNA INSURANCE
2	003112377A	MEDICAID	GEORGIA
3	132600	OTHER	GEORGIA	CENPATICO
4	753207	OTHER		WELLCARE
5	1902141617	OTHER	GEORGIA	BLUE CROSS/BLUE SHIELD OF GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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