Tommie L Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004015488 Issued in MO

Practice address

900 E San Martin St
Bolivar, MO 65613-2893

Phone

(417) 326-7272

Fax

(471) 326-2193

NPI assigned

Apr 14, 2006

Last updated

Jul 23, 2025By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Comprehensive Wellness Clinic

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1619062445
  NPD (past)
• Southwest Missouri Homecare, LLC

  dba Access Home Health Agency

  • Home Health Agency
  • Springfield, MO
  • NPI 1316129208
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1255395380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656130049",
            "telephone_number": "417-326-7272",
            "fax_number": "417-326-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SAN MARTIN ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132893",
            "telephone_number": "417-326-7272",
            "fax_number": "471-326-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TOMMIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004015488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499356806",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD ID",
            "identifier": "195860",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retha Marceleen Melton, PA-C
• Menm, LLC (Miracle-Ear)
• Emiliy Mesecher, PT, DPT
• Michele Vinson Investments LLC Dba Bolivar Manor House
• Jessica Lynn Miller, RD/LD
• Missouri Speech Therapy
• Cynthia Diane Mitchell, RN, BSN
• Coral Molina, DO
• Laura Beth Montgomery, O.D.
• Sara Montgomery, SLP

• Clinical Social Worker in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.