Active NPI
Jill Marie Miller, LCSW
- Clinical Social Worker
- San Jacinto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 22871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 22871 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Current | Accepting new patients | |
| Inland Psychiatric Medical Group Inc | Clinical | Current | Accepting new patients |
| Serenity and Solutions Family Counseling Center Prof Corp | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Clinical | Current | Accepting new patients |
| California Family Life Center | Clinical | Past | Accepting new patients |
| Telecare | Past | 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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
-
dba Serenity and Solutions Counseling Center
- Mental Health Counselor
- Hemet, CA
- NPI 1891321238
-
- Peer Specialist
- Perris, CA
- NPI 1992320329
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.