Dustin Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW121041 Issued in CA

Practice address

214 Main St # 228
El Segundo, CA 90245-3803

Phone

(424) 210-5737

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1205452679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST # 228",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453803",
            "telephone_number": "424-210-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST # 228",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453803",
            "telephone_number": "424-210-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St # 488",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022059",
            "country_code": "US",
            "telephone_number": "424-306-5736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6404 Wilshire Blvd Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485512",
            "country_code": "US",
            "telephone_number": "800-624-1475",
            "fax_number": "800-624-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-07-01",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW121041",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Milledge
• Shandriel Milledge
• Aasiyah Miller
• Ariyanna Miller
• Deanna Miller
• Emery Miller
• Geoffrey Marc Miller, MD
• Giovanni Miller
• Gregory Alan Miller, M.D.
• Kristen Miller

• Clinical Social Worker in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.