Mr Jeremy Keith Miller, MSW, LISW-S,LICDC-CS is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Jeremy K Miller Consulting Llc and his current practice location is
3401 Glendale Ave Ste 200, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at
(567) 742-7117.
Mr Jeremy Keith Miller is licensed to practice in Ohio (license number I.1700237-SUPV) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053797613.
Healthcare Provider's Profile
| Full Name | Mr Jeremy Keith Miller |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 3401 Glendale Ave Ste 200, Toledo, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jeremy Keith Miller graduated from medical school in 2014
NPI Data:
- NPI Number: 1053797613
- Provider Enumeration Date: 08/06/2015
- Last Update Date: 04/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931477262
- Enrollment ID: I20241216003290
Medical Identifiers
Medical identifiers for Mr Jeremy Keith Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053797613 | NPI | - | NPPES |
| 0231357 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161437 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1700237-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jeremy K Miller Consulting Llc | 3072049956 | 2 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremy Keith Miller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jeremy Keith Miller, MSW, LISW-S,LICDC-CS
3401 Glendale Ave Ste 200,
Toledo, OH 43614-2490
Ph: (567) 218-1980 | Mr Jeremy Keith Miller, MSW, LISW-S,LICDC-CS
3401 Glendale Ave Ste 200,
Toledo, OH 43614-2490
Ph: (567) 742-7117 |
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