Individual provider · Type 1 NPI

Kendra Marie Suddeth Miller, LISW-CP

Clinical Social Worker · Blythewood, SC

NPI number 1265163687 Active

Practice location

412 Saddlecrest Ct
Blythewood, SC 29016-7631

Call (803) 587-8327 Map

Mailing address

PO Box 72
Blythewood, SC 29016-0072

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
Clinical Social Worker Primary 1041C0700X13581 (SC)

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…

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About NPI 1265163687

Kendra Marie Suddeth Miller, LISW-CP's National Provider Identifier is 1265163687, issued on Jun 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blythewood, SC. The record was last updated on Nov 21, 2023.