KAITLYN GRACE MILLER LCSWA
NPI 1003489121
Social Worker - Clinical in Charlotte, NC

Q: What is Kaitlyn Miller's NPI number?

The NPI number for Kaitlyn Miller is 1003489121. It was assigned to this individual provider in the NPPES registry on July 19, 2021. The provider is also known as Kaitlyn Grace Cannon.

Q: What is Kaitlyn Miller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Miller was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2021

700 EAST BLVD STE 1, CHARLOTTE, NC 28203(704) 980-3082 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Jul 19, 2021 (2 updates tracked since 2021).

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About Kaitlyn Grace Miller Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN GRACE MILLER LCSWA (NPI 1003489121) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P019090) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1003489121

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLYN GRACE MILLERCredential: LCSWA

Location Address700 EAST BLVD STE 1Charlotte, NC 28203-5156

Mailing Address700 East Blvd Ste 1Charlotte, NC 28203-5156 · (704) 980-3082

Phone(704) 980-3082

Sole ProprietorYes

Enumeration DateJuly 19, 2021

Last NPPES UpdateJune 15, 20232 updates tracked since enumeration

NPPES CertifiedJune 15, 2023

✔ NPI 1003489121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P019090

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

700 EAST BLVD STE 1, Charlotte, NC 28203

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Other Names 1

Former Name (1)Kaitlyn Grace Cannon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA ROSE BRAISTED LCMHC-A

Counselor (Mental Health)