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

Kelsey Marie Miller, LCSW

Individual provider Clinical Social Worker · NPI 1790371870

Kelsey Marie Miller, LCSW is a Clinical Social Worker in Syracuse, New York. Qualified in 2019, 7 years ago. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
Specialties on file
3
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

1065 James St
Syracuse, NY 13203-2787
Phone: (315) 800-9003
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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 096147 (NY)
Clinical Social Worker Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1790371870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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