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

Krystal Miller, LCSW

Individual provider Clinical Social Worker · NPI 1174219646

Krystal Miller, LCSW is a Clinical Social Worker in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

22137 113th Dr
Queens Village, NY 11429-2621
Phone: (718) 926-6932
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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 095148 (NY)

Record details

NPI number1174219646
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

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