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

Mr. Mark E. Miller, LICSW, LISW, LSCSW

Individual provider Clinical Social Worker · NPI 1912013392

Mr. Mark E. Miller, LICSW, LISW, LSCSW is a Clinical Social Worker in Omaha, Nebraska. Qualified in 2006, 20 years ago. Practices with Spence Counseling Center PC, a 14-clinician group and accepts Medicare assignment. Licensed in Iowa, Kansas and Nebraska.

Years since qualifying
20
Licensed in
IA, KS, NE
In the registry since
2006
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

12035 Q St
Omaha, NE 68137-3542
Phone: (402) 991-0611
Fax: (402) 991-6228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1199 (NE)
Clinical Social Worker Taxonomy 1041C0700X · Licence 05745 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 06756 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1413 (NE)

Record details

NPI number1912013392
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LISW , LSCSW
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Spence Counseling Center Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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