Jennifer Renee Miller, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

68737 Issued in TX

Practice address

14800 Quorum Dr Ste 261
Dallas, TX 75254-7073

Phone

(469) 701-0983

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Renee Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Place Psychological Services, PLLC

  • Clinical Social Worker
  • Mesquite, TX
  • NPI 1619707338
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1871194753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 PLANO PKWY APT 9303",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104963",
            "telephone_number": "337-396-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 QUORUM DR STE 261",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547073",
            "telephone_number": "469-701-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "68737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOORE",
            "middle_name": "RENEE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Wyatt Miller
• Jami Eidem Miller, MD
• Janea Miller, LMSW
• Jayne Louise Miller, NP-C
• Jenna Anne Miller, PSY.D.
• Jessica Ford Miller, PA-C
• Jessica Marie Miller, DC
• Jimmie D Miller II, D.D.S.
• Jo Carolyn Miller, PH.D.
• John Franklin Miller IV, LPC, LCDC

• Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.