Individual provider · Type 1 NPI

Mark Jay Miller, LCSW

Clinical Social Worker · Eugene, OR

NPI number 1972758753 Active

Practice location

3003 Willamette St
Eugene, OR 97405-3241

Mailing address

396 Dellwood Dr
Eugene, OR 97405-2069

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XL002041 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XL002041 (OR)
Professional Counselor 101YP2500XL002041 (OR)
Clinical Social Worker Primary 1041C0700XL002041 (OR)
Marriage & Family Therapist 106H00000XL002041 (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 1972758753

Mark Jay Miller, LCSW's National Provider Identifier is 1972758753, issued on Nov 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Nov 20, 2008.