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

Individual provider Clinical Social Worker · NPI 1164433421

Mr. Richard C Miller, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
41
Licensed in
MA
In the registry since
2006
What do these letters mean?
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

30 Ipswich St #108
Boston, MA 02215
Phone: (617) 437-6303
Fax: (508) 487-8983
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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 107695 (MA)

Record details

NPI number1164433421
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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