Provider Demographics
NPI:1770267767
Name:MILLER, MARIE ROMAINE (MA, LMSW, DE-CMHS)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ROMAINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, LMSW, DE-CMHS
Other - Prefix:MS
Other - First Name:MARIE
Other - Middle Name:ROMAINE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MM, LMSW,DE-CMHS
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:DE
Mailing Address - Zip Code:19950-0334
Mailing Address - Country:US
Mailing Address - Phone:201-686-1182
Mailing Address - Fax:
Practice Address - Street 1:206 SEACHASE LN
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:DE
Practice Address - Zip Code:19950-4021
Practice Address - Country:US
Practice Address - Phone:201-686-1182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010865104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker