Stacy Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW21865 Issued in FL

Practice address

2252 Killearn Center Blvd Ste 300
Tallahassee, FL 32309-3573

Phone

(239) 690-6906

NPI assigned

Sep 20, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 16)

Locations

Networks

• AL HMO D-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO C-SNP
• FL PPO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• FL HMO D-SNP
• FL HMO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO

Interoperability endpoints

• Direct secure messaging: stacy.miller.1@13142.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
  • NPI 1316363757

  Clinical

  Medicare reassignment Care Compare group NPD
• Bonita Springs Retirement Village, Inc.

  • Skilled Nursing Facility
  • Bonita Springs, FL
  • NPI 1700126802
  NPD
• Lehigh Acres BG Opco LLC

  • Assisted Living Facility
  • Lehigh Acres, FL
  • NPI 1760939813
  NPD
• Cotler Children and Family Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1861858581
  NPD (past)
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1003633264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 KILLEARN CENTER BLVD STE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093573",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 KILLEARN CENTER BLVD STE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093573",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Stone Miller, M.S.,CCC-SLP
• Nancy Jane Miller, PA-C
• Noah John Miller
• Savannah Miller, BSN, RN
• Sharon Lynn Miller, PH.D. LMHC, LCCT
• Suzanne M Miller, LCSW
• William Harrison Miller, DMD
• Sean Michael Milliken
• Amanda Mitchell Mills, AA-C
• Ashlei Mills, LPN

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.