Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Katelyn Mary Miller, MSSW, LISW-S

Individual provider Social Worker · NPI 1811398522

Miss. Katelyn Mary Miller, MSSW, LISW-S is a Clinical Social Worker in Sandusky, Ohio. Graduated from University of Tennessee, Hsc, College of Medicine in 2014, 12 years ago. Practices with Pure Psychiatry of Michigan PLLC, a 100-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3911 Donair Dr
Sandusky, OH 44870-5739
Phone: (419) 357-2492
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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 I.1801022-SUPV (OH)
Social Worker Taxonomy 104100000X · Licence S1450660 (OH)

Record details

NPI number1811398522
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSW , LISW-S
Sole proprietorNo
NPI enumeratedSeptember 12, 2014
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Pure Psychiatry Of Michigan Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sandusky