Individual provider Active NPI

Kenneth Scott Miller, LMSW

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1730120478
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801084709 Issued in MI
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

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
33002131AINMDSocial Worker
34003388AINMDClinical Social Worker
6801084709MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.