Individual provider · Type 1 NPI

Jessie Anna Miller, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1700547148 Active

Practice location

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Call (309) 692-6622 Map

Fax (309) 692-6952

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.024080 (IL)

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 1700547148

Jessie Anna Miller, LCSW's National Provider Identifier is 1700547148, issued on Jan 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Oct 3, 2024.