KIMBERLY MILLER LCSW, SAC-IT
NPI 1144786658
Social Worker - Clinical in Jefferson, WI

Active since February 20, 2019
1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-3105 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2021, Feb 20, 2019 (2 updates tracked since 2019).

About Kimberly Miller Lcsw, Sac-it NPPES

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

KIMBERLY MILLER LCSW, SAC-IT (NPI 1144786658) is an individual clinical provider in Jefferson, Wisconsin, licensed in Wisconsin (9598-123) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1144786658
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY MILLERCredential: LCSW, SAC-IT
Location Address1541 ANNEX RDJefferson, WI 53549-9803
Mailing AddressN114 West St Apt 6Waterloo, WI 53594-9214 · (920) 904-0770
Sole ProprietorNo
Enumeration DateFebruary 20, 2019
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1144786658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 9598-123
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18467-130 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 131240-121 (WI)
1541 ANNEX RD, Jefferson, WI 53549

Other Identifiers 1

Medicaid42138100WI

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker (Clinical)
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Case Manager/Care Coordinator
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Community/Behavioral Health
1541 ANNEX RD
JEFFERSON, WI 53549
Behavior Technician
1541 ANNEX RD
JEFFERSON, WI 53549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Miller's NPI number?

The NPI number for Kimberly Miller is 1144786658. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Kimberly Miller located?

Kimberly Miller practices at 1541 Annex Rd, Jefferson, WI 53549. The listed phone number is (920) 674-3105.

What is Kimberly Miller's specialty?

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

What insurance does Kimberly Miller accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Kimberly Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Miller was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.