Matthew Edward Miller, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30814 Issued in MN

Practice address

2100 Bassett Dr
Mankato, MN 56001-6888

Phone

(507) 344-0621

Fax

(507) 344-2153

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/horizonhomes/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1649368127
  Medicare reassignment NPD
• Horizon Homes, Inc.

  dba Horizon Homes South Central Crisis Center

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1124333810
  NPD
• Horizon Homes, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mankato, MN
  • NPI 1093895997
  NPD (past)
• Horizon Homes, Inc.

  dba SCCC Mobile Crisis

  • Community/Behavioral Health Agency
  • Mankato, MN
  • NPI 1821389214
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1962239871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BASSETT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016888",
            "telephone_number": "507-344-0621",
            "fax_number": "507-344-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BASSETT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016888",
            "telephone_number": "507-344-0621",
            "fax_number": "507-344-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Michelle Mikels
• James J Milavetz, MD
• Amanda Lea Miller
• Elaine Marie Miller, CNP
• Mackenzie Jaye Miller
• Megan Marie Miller, DPT
• Shayna Terese Miller, SLP
• Helaine Marie Mills, DO
• Mind Body Spirit Center
• Minneapolis Vamc

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.