Gina Renee Miles, LICSW
Gina Renee Miles, LICSW is a Clinical Social Worker in Montesano, Washington. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 22
- Licensed in
- WA
- In the registry since
- 2020
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
221 W Wynooche Ave Unit BMontesano, WA 98563-4401
Phone: (360) 797-5241
Fax: (360) 249-8495
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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 60693174 (WA) |
|---|
Record details
| NPI number | 1124651419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | February 15, 2020 |
| Last updated in NPPES | February 15, 2020 |
| Certification date | February 15, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Montesano
-
Traci Burg, MSW, LACISW
720 W Pioneer Ave, Montesano, WA 98563-4218 · (360) 441-0938
-
MS. Carole August Grigg, LCSW
138 S First St Ste 4, Montesano, WA 98563-3623 · (360) 249-5266