Bruce Lee Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024049967 Issued in MO

Practice address

17571 N Dam Access Rd
Warsaw, MO 65355-6396

Phone

(660) 438-2717

Fax

(660) 438-2313

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regional Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Sedalia, MO
  • NPI 1922057504

  MO

  Medicare reassignment NPD
• Regional Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Versailles, MO
  • NPI 1053694422

  MO

  Medicare reassignment NPD
• Regional Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Warsaw, MO
  • NPI 1053533539
  NPD
• Regional Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Warsaw, MO
  • NPI 1629797196
  NPD

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1801175229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653013821",
            "telephone_number": "660-310-0909",
            "fax_number": "888-979-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17571 N DAM ACCESS RD",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653556396",
            "telephone_number": "660-438-2717",
            "fax_number": "660-438-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRUCE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024049967",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "6885651-3503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Machnicki, LCSW
• Angela Marti Jedinak, MSW, LCSW
• Madison Raeann Mays, M.S., CCC-SLP
• Benjamin Barry Mazal, M.D.
• Britney Marie McDonald, APRN
• Erik Michael Miller, D.O.
• Sydney Miller, MCD CFY SLP
• Debra Mitchell
• Frederick Wallace Nolen, PH.D.
• Northport Health Services of Missouri, LLC

• All providers in Warsaw, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.