Individual provider Active NPI

Jill Marie Miller, LCSW

  • Clinical Social Worker
  • San Jacinto, CA
National Provider Identifier
1649421298
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 22871 Issued in CA
Practice address
891 Yukon Dr
San Jacinto, CA 92582-2747
Phone
(951) 544-7041
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 22871 CA Primary

Addresses

Primary practice location

891 Yukon Dr
San Jacinto, CA 92582-2747

Mailing address

891 Yukon Dr
San Jacinto, CA 92582-2747
Phone (951) 544-7041

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 22871CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Inland Psychiatric Medical Group Inc Clinical CurrentSince Oct 14, 2022 Accepting new patients
Serenity and Solutions Family Counseling Center Prof Corp CurrentSince Nov 6, 2023 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients
California Family Life Center Clinical Past Accepting new patients
Telecare PastSince Apr 9, 2023 Accepting new patients

Locations

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

1300 W Florida Ave
Ste C
Hemet, CA 92543
Phone (805) 952-3517

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1649421298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 YUKON DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822747",
            "telephone_number": "951-544-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 YUKON DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822747",
            "telephone_number": "951-544-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.