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

Individual provider Clinical Social Worker · NPI 1962239871

Matthew Edward Miller, MSW, LICSW is a Clinical Social Worker in Mankato, Minnesota. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2100 Bassett Dr
Mankato, MN 56001-6888
Phone: (507) 344-0621
Fax: (507) 344-2153
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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 30814 (MN)

Record details

NPI number1962239871
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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