Individual provider · Type 1 NPI

Clyde Kermit Miller Ii, M.S., M.S.W.

Clinical Social Worker · Clackamas, OR

NPI number 1831295179 Active

Practice location

10163 SE Sunnyside Rd, STE.490
Clackamas, OR 97015-5743

Call (503) 513-4400 Map

Mailing address

10163 SE Sunnyside Rd, Ste 490, Kaiser Permanente One Town Center
Clackamas, OR 97015-9746

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001374 (OR)

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 1831295179

Clyde Kermit Miller Ii, M.S., M.S.W.'s National Provider Identifier is 1831295179, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clackamas, OR. The record was last updated on Jul 16, 2007.