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

Kimberly Miller, LCSW, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144786658

Kimberly Miller, LCSW, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
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.

See every abbreviation used in this directory →

Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
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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 9598-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18467-130 (WI)
Social Worker Taxonomy 104100000X · Licence 131240-121 (WI)

Record details

NPI number1144786658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , SAC-IT
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

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