Kristin Miller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15909 75TH Ave N
West Palm Beach, FL 33418-7417

Phone

(904) 502-0316

NPI assigned

Jul 26, 2011

Sex

Female

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 WV, IN2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gemini Recovery Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, IN
  • NPI 1255149324
  Medicare reassignment NPD
• Parkersburg Addiction Recovery

  • Community/Behavioral Health Agency
  • Parkersburg, WV
  • NPI 1558971341
  Medicare reassignment NPD
• Roadways to Recovery Inc.,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford, IN
  • NPI 1740856483
  Medicare reassignment NPD
• KB Elements LLC

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1982309381
  NPD
• Parkersburg Addiction Recovery

  • Family Nurse Practitioner
  • Parkersburg, WV
  • NPI 1659942217
  NPD

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1841578747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 NAUTICA WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677667",
            "telephone_number": "786-610-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 75TH AVE N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187417",
            "telephone_number": "904-502-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Broadway",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334075433",
            "country_code": "US",
            "telephone_number": "786-610-8632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 7th St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015007",
            "country_code": "US",
            "telephone_number": "786-610-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendese Camille Miller, MD
• Jacqueline Vega Miller, LMHC
• Jamie L. Miller
• Janice L Miller, M.D.
• Kaylin Miller, LCSW
• Lexys Nicolette Miller
• Marcelle MJ Miller, DOM
• Padgett Miller, DOM, PT
• Sharon C Miller, MD
• Valencia Jessica Miller

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.

Verify at the official NPI Registry.