Individual provider · Type 1 NPI

John Clark Miller, LCSW

Clinical Social Worker · Manzanita, OR

NPI number 1174643738 Active

Practice location

60 Laneda Avenue, Suite 202
Manzanita, OR 97130-0000

Fax (971) 606-2001

Mailing address

PO Box 146
Rockaway Beach, OR 97136-0146

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12-03-71 (OR)
Clinical Social Worker Primary 1041C0700XL5461 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

About NPI 1174643738

John Clark Miller, LCSW's National Provider Identifier is 1174643738, issued on Mar 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manzanita, OR. The record was last updated on Apr 23, 2020.