Individual provider · Type 1 NPI
Trudy Blaylock Miller
Clinical Social Worker · Brandon, MS
Practice location
102 Audubon Point Dr
Brandon, MS 39047-6407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C11119 (MS) |
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 1316801186
Trudy Blaylock Miller's National Provider Identifier is 1316801186, issued on Dec 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, MS. The record was last updated on Dec 15, 2025.