Active NPI
Kenneth Scott Miller, LMSW
- Clinical Social Worker
- East Lansing, MI
National Provider Identifier
1730120478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801084709
- Practice address
- 780 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8452 - Phone
- (517) 798-6118
- Fax
- (517) 955-9191
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33002131A | IN | |
| Clinical Social Worker | 1041C0700X | 34003388A | IN | |
| Clinical Social Worker | 1041C0700X | 6801084709 | MI | Primary |
Addresses
Primary practice location
780 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8452
Mailing address
780 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8452
Phone (517) 798-6118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051103000725 | MI | Practitioner - Clinical Social Worker | 8527086081 | Practice locations: East Lansing, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
780 W Lake Lansing Rd
Suite 100
East Lansing, MI 48823-8452
Phone (317) 341-3025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33002131A | IN | MD | Social Worker |
| 34003388A | IN | MD | Clinical Social Worker |
| 6801084709 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Corners Consulting Inc | Social Worker | Past | Accepting new patients |
| New Horizons Counseling Services PLLC | Social Worker | Past | Accepting new patients |
| St. Vincent Catholic Charities | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Social Worker
- East Lansing, MI
- NPI 1780042259
-
- Voluntary or Charitable Agency
- Lansing, MI
- NPI 1619907631
-
- Social Worker
- East Lansing, MI
- NPI 1912379348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1730120478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W LAKE LANSING RD STE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238452",
"telephone_number": "517-798-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 W LAKE LANSING RD STE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238452",
"telephone_number": "517-798-6118",
"fax_number": "517-955-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KENNETH",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33002131A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34003388A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801084709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.