Individual provider · Type 1 NPI

Wendell Dave Miller, LMSW

Clinical Social Worker · South Huntington, NY

NPI number 1295236123 Active

Practice location

3 Peter Ct
South Huntington, NY 11746-4501

Mailing address

66 Primrose Ln
Kings Park, NY 11754

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X8413 (CT)
Physical Therapy Assistant 225200000X007714 (NY)
Clinical Social Worker Primary 1041C0700X127312 (NY)

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 1295236123

Wendell Dave Miller, LMSW's National Provider Identifier is 1295236123, issued on Feb 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Huntington, NY. The record was last updated on Sep 29, 2026.