Jennifer Miles, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29797 Issued in MN

Practice address

2835 S Service Dr
Red Wing, MN 55066-1882

Phone

(651) 327-2270

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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 MN

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/hvmhc/r4/

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.

• Hiawatha Valley Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winona, MN
  • NPI 1184606337
  Medicare reassignment Care Compare group NPD
• Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Wing, MN
  • NPI 1215327432
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1073396271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S SERVICE DR",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661882",
            "telephone_number": "651-327-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S SERVICE DR",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661882",
            "telephone_number": "651-327-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline J Meyer-Rostad, DNP, APRN, CNP-C
• Thomas M.G. Meyer, MD
• Midwest Companies, Inc
• Midwest Transit
• Midwest Vision Centers Inc
• Rebecca Millard, PHARMD
• Katharine Anne Miller
• Modern Dental Professionals Minnesota PC
• Charles D Moehnke, PA-C
• Eric C Mollgaard, MD

• Clinical Social Worker in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.