Johanna Miller, LW61319101

Individual provider Active NPI Social Worker · Inchelium, WA

NPI 1700515137 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1700515137
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
LW61319101 (WA)
Practice address
32 Short Cut Road
Inchelium, WA 99138
Phone
(509) 346-2610
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LW61319101WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Colville Reservation Past
since Dec 22, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61319101 WA Yes

Addresses

Primary practice location

32 Short Cut Road
Inchelium, WA 99138

Mailing address

PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2800

Other providers in Inchelium, WA

All providers in Inchelium, WA · Social Worker in Washington

Sources for this page

Verify at the official NPI Registry.