Organization
DIVERLEAF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN P MILLER LCSW-C (OWNER)
(202) 813-9773
Entity
Organization
Contact information
Practice address
606 BALTIMORE AVE STE 207, BALTIMORE, MD 21204-4097
(202) 813-9773
Mailing address
606 BALTIMORE AVE STE 207, BALTIMORE, MD 21204-4097
(202) 813-9773
(202) 747-5539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17348
LCSW-C
MD
Enumeration date
11/17/2025
Last updated
04/01/2026
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