Kathleen Ann Miller, LSCSW
Individual provider Active NPI Clinical Social Worker · Pratt, KS
NPI 1346355591 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1346355591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4614 (KS)
- Practice address
- 602 E 2ND St
Pratt, KS 67124-2912 - Phone
- (620) 672-2332
- Fax
- (620) 672-3162
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Horizons Mental Health Center, Inc.
Practice addresses (Care Compare)
602 E 2ND St
Pratt, KS 67124-2912
Phone (620) 672-2332
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170105000302 | KS | Practitioner - Clinical Social Worker | 0244511285 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4080 | KS | MD | Social Worker |
| 4614 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Mental Health Center, Inc. | Past |
Accepting new patients | |
| Horizons Mental Health Center, Inc. | Past | Accepting new patients | |
| Horizons Mental Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4080 | KS | |
| Clinical Social Worker | 1041C0700X | 4614 | KS | Yes |
Addresses
Primary practice location
602 E 2ND St
Pratt, KS 67124-2912
Mailing address
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595
Other practice location 1
610 E Grant Ave
Greensburg, KS 67054-2708
Phone (620) 723-2272
Other providers in Pratt, KS
- Troy O Maydew
- Brittany Mead
- Janet Meyers
- Mid Kansas Anesthesia Care LLC
- Destani Miller
- Moffitt Anesthesia LLC
- Jessica J Moffitt
- Coleen Michele Moore
- Morford Enterprises Inc
- Allison Morford
All providers in Pratt, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.