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

Mr. Timothy Michael Miller, LSW, LICDC-S

Individual provider Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1528694643

Mr. Timothy Michael Miller, LSW, LICDC-S is an Addiction Medicine (Psychiatry & Neurology) Physician in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1441 Phale D Hale Dr
Columbus, OH 43203
Phone: (614) 257-3754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X · Licence 001104 (OH)

Record details

NPI number1528694643
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , LICDC-S
Sole proprietorYes
NPI enumeratedMarch 20, 2020
Last updated in NPPESJuly 21, 2022
Certification dateMarch 20, 2020

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