Samantha Mills

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259790 Issued in KY

Practice address

150 Westside Dr
Winchester, KY 40391-1196

Phone

(859) 779-3940

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Key Assets Kentucky, Inc.

  • Community/Behavioral Health Agency
  • Lexington, KY
  • NPI 1558747790
  Medicare reassignment NPD
• Samantha Mills, LCSW, LLC

  • Adult Mental Health Clinic/Center
  • Winchester, KY
  • NPI 1417754961
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1669295168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTSIDE DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911196",
            "telephone_number": "859-779-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WESTSIDE DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911196",
            "telephone_number": "859-779-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Daniel Miller, FNP-C
• Laurie Miller, RN
• Mark Darryl Miller, DC
• Megan Tambi Miller, MPT
• Meggin Daniels Miller, DI
• Darian Mitchell
• Mobile Images of Kentucky LLC
• Crystal Mobley, LCSW
• Anand Modadugu, MD
• Aleksandr V. Mogilevski, MD

• Clinical Social Worker in Winchester, KY
• Providers in Winchester, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.