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

Mr. Jeremy Keith Miller, MSW, LISW-S, LICDC-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053797613

Mr. Jeremy Keith Miller, MSW, LISW-S, LICDC-CS is a Clinical Social Worker in Toledo, Ohio. Qualified in 2014, 12 years ago. Practices with Jeremy K Miller Consulting LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

3401 Glendale Ave Ste 200
Toledo, OH 43614-2490
Phone: (567) 742-7117
Fax: (567) 200-8410
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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.1700237-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.161437 (OH)

Record details

NPI number1053797613
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LISW-S , LICDC-CS
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jeremy K Miller Consulting Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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