Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Angelique Miller, LMSW

Individual provider Clinical Social Worker · NPI 1285277954

Ebony Angelique Miller, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 855-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801103998 (MI)

Record details

NPI number1285277954
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 24, 2019
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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