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

Samantha Jo Miller, LICSW, LCSW, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588155816

Samantha Jo Miller, LICSW, LCSW, LAC is an Addiction (Substance Use Disorder) Counselor in Grand Forks, North Dakota. Works from 2 locations. Licensed in Minnesota and North Dakota.

Licensed in
MN, ND
In the registry since
2018
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.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2397 S 36th St Unit A
Grand Forks, ND 58201-8841
Phone: (701) 645-7456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 S 4th St, Grand Forks, ND 58201-4737 — (701) 215-6773

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6345 (ND)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1943 (ND)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305065 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 30475 (MN)

Record details

NPI number1588155816
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW , LAC
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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