Individual ProviderDiana MillerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6721 Rainier Ave, Gig Harbor, WA 98335-1918(801) 694-0020PECOS EnrollmentBased on the most recent information from CMS, provider Diana Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1235108309Provider TypeIndividualFull NameMiller, DianaCredentialL.C.S.W.GenderFemaleSole ProprietorYesEnumeration Date3/14/2006Last Updated10/4/2021Contact InformationPractice LocationPractice Address6721 Rainier Ave, Gig Harbor, WA 98335-1918Phone(801) 694-0020FaxUnlisted FaxMailing LocationMailing Address6721 Rainier Ave, Gig Harbor, WA 98335-1918Phone(801) 694-0020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW60875994WashingtonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense3086403501Utah