Active NPI
Kaylin Miller, LCSW
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1750106068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW23289
- Practice address
- 1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214 - Phone
- (321) 549-7414
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW23289 | FL | Primary |
Addresses
Primary practice location
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Mailing address
11728 SW 1St St
Coral Springs, FL 33071-8062
Phone (540) 335-7880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW23289 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1750106068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11728 SW 1ST ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718062",
"telephone_number": "540-335-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012214",
"telephone_number": "321-549-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KAYLIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW23289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.