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

Kellye Vanniese Miles

Individual provider Clinical Social Worker · NPI 1164368569

Kellye Vanniese Miles is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

319 E 103rd St
Los Angeles, CA 90003-4903
Phone: (323) 788-6202
Fax: (323) 788-6202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 119252 (CA)

Record details

NPI number1164368569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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