Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Miller, LCSW, CACII, MSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417919655

Charles Miller, LCSW, CACII, MSW is a Clinical Social Worker in Fort Collins, Colorado. Qualified in 1998, 28 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1024 S Lemay Ave
Fort Collins, CO 80524
Phone: (970) 495-8020
Fax: (970) 495-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114 Bristlecone Dr, Fort Collins, CO 80524-2031 — (970) 494-4200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.00992662 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACB.0007233 (CO)

Record details

NPI number1417919655
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CACII , MSW
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESDecember 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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