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

Jessie Anna Miller, LCSW

Individual provider Clinical Social Worker · NPI 1700547148

Jessie Anna Miller, LCSW is a Clinical Social Worker in Peoria, Illinois. Qualified in 2018, 8 years ago. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2450
Phone: (309) 692-6622
Fax: (309) 692-6952
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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 149.024080 (IL)

Record details

NPI number1700547148
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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