Dominique Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097161 Issued in NY

Practice address

220 E 42ND St FL 6
New York, NY 10017-5831

Phone

(917) 538-8833

NPI assigned

Mar 15, 2018

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

Other names 1

• Mrs. Dominique Miller Dean Other name

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1720581853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 NASSAU PKWY",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507341",
            "telephone_number": "516-423-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175831",
            "telephone_number": "917-538-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92-31 Union Hall St",
            "address_2": "4th Flr",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114331147",
            "country_code": "US",
            "telephone_number": "917-734-8559",
            "fax_number": "718-318-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Nassau Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115507341",
            "country_code": "US",
            "telephone_number": "516-423-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DOMINIQUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "MILLER DEAN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Lee Miller, PT, DPT
• David Mark Miller, PH.D.
• Deborah Kate Miller, L.P.
• Dennis K Miller, MD
• Derek Miller, LCSW
• Doria Miller, LCSW
• Dorothy Anne Miller, MD
• Edward J Miller Jr., D.M.D.
• Elisabeth Miller, PT, DPT
• Elissa Jane Miller, MD, MPH

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.