Mistala Miller, LMSW
Mistala Miller, LMSW is a Clinical Social Worker in St Maries, Idaho. Qualified in 2016, 10 years ago. Practices with Dirne Health Centers Inc, a 83-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.
- Years since qualifying
- 10
- Licensed in
- ID
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LMSW — Licensed Master Social Worker
- A master's-level social worker, usually practising under supervision.
Practice location Address checks out
120 S 13th StSt Maries, ID 83861-1627
Phone: (208) 245-4363
Fax: (208) 245-4349
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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 LCSW-38874 (ID) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence LMSW36012 (ID) |
Record details
| NPI number | 1598213183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMSW |
| Sole proprietor | No |
| NPI enumerated | September 13, 2016 |
| Last updated in NPPES | July 8, 2024 |
| Certification date | July 8, 2024 |
| Mailing address | Po Box 1387, Hayden, ID 83835-1387 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Dirne Health Centers Inc — 83 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in St Maries
-
Seth Patzer, LMSW
1030 S 3rd St, St Maries, ID 83861-1958 · (208) 215-6425
-
Gisella Suzanne Quigley, LMSW
89 Homer Dr, St Maries, ID 83861-5078 · (208) 245-5427