Samantha Jo Miller, LICSW, LCSW, LAC is a
Social Worker - Clinical based in Grand Forks, North Dakota. Samantha Jo Miller is licensed to practice in North Dakota (license number 6345) and her current practice location is
2397 S 36th St Unit A, Grand Forks, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 645-7456.
NPI number for Samantha Jo Miller is 1588155816 and her current mailing address is 2397 S 36th St Unit A, Grand Forks, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588155816.
Healthcare Provider's Profile
| Full Name | Samantha Jo Miller |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2397 S 36th St Unit A, Grand Forks, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588155816
- Provider Enumeration Date: 05/22/2018
- Last Update Date: 09/17/2025
Medical Identifiers
Medical identifiers for Samantha Jo Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588155816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1943 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6345 (North Dakota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305065 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 30475 (Minnesota) | Secondary |
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. Samantha Jo Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Jo Miller, LICSW, LCSW, LAC
2397 S 36th St Unit A,
Grand Forks, ND 58201-8841
Ph: (701) 645-7456 | Samantha Jo Miller, LICSW, LCSW, LAC
2397 S 36th St Unit A,
Grand Forks, ND 58201-8841
Ph: (701) 645-7456 |
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