Gina Brunetti Miller, MS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004076 Issued in MO

Practice address

3701 E Lake Ctr
Ste 8
Quincy, IL 62305-5842

Phone

(573) 406-7643

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083736235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EAST LAKE CENTER DRIVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "573-406-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E LAKE CTR",
            "address_2": "STE 8",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055842",
            "telephone_number": "573-406-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GINA",
        "middle_name": "BRUNETTI",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004076",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH BENIFIT ALLIANCE",
            "identifier": "073138",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00132045",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "491782",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Miller, APRN
• Broda L Miller, LPN
• Coletta M Miller, D.D.S.
• Courtney Lynn Miller, M.S.ED, LCPC
• Danielle Elizabeth Miller, APRN-AGACNP
• Mary Carroll Miller, MD
• Paul E Miller, DDS
• Robert Earl Miller Jr.
• Ryan Patrick Miller, D.C.
• Sean A Miller, MSW, LCSW

• Clinical Social Worker in Quincy, IL
• Providers in Quincy, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.