Individual provider · Type 1 NPI

Derrick James Miller

Clinical Social Worker · Ramona, CA

NPI number 1265964209 Active

Practice location

401 Etcheverry St
Ramona, CA 92065-3003

Mailing address

8231 Kensington Blvd Apt 486
Davison, MI 48423-2935

Other practice locations

  • 42815 Garfield Rd Ste 201, Clinton Township, MI 48038-1143 · (586) 333-5328

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801105548 (MI)

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 1265964209

Derrick James Miller's National Provider Identifier is 1265964209, issued on Mar 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ramona, CA. The record was last updated on Sep 26, 2026.