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KAITLYN D MILLER LCSW
NPI 1265838593
Social Worker - Clinical in Fort Collins, CO

Active since November 13, 2014Opted out of Medicare · through Jun 24, 2028
4103 BOARDWALK DR UNIT 202, FORT COLLINS, CO 80525(970) 494-9870 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn D Miller Lcsw NPPES

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

KAITLYN D MILLER LCSW (NPI 1265838593) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (09927628) and active in the NPI registry since November 2014. She has opted out of Medicare through June 24, 2028.

NPPES Registry Identity

NPI1265838593
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAITLYN D MILLERCredential: LCSW
Location Address4103 BOARDWALK DR UNIT 202Fort Collins, CO 80525-5930
Mailing Address125 Crestridge StFort Collins, CO 80525-3934 · (970) 494-9761
Phone(970) 494-9870
Sole ProprietorNo
Enumeration DateNovember 13, 2014
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1265838593 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 CO · 09927628
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.
4103 BOARDWALK DR UNIT 202, Fort Collins, CO 80525
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kaitlyn D Miller Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2024 through June 24, 2028.

Opt-Out Effective DateJune 24, 2024
Opt-Out In Effect ThroughJune 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

WALLACE COUNSELING, LLC
Counselor (Professional)
4103 BOARDWALK DR UNIT 202
FORT COLLINS, CO 80525
Larimer County (970) 817-4049

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 Kaitlyn Miller's NPI number?

The NPI number for Kaitlyn Miller is 1265838593. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Kaitlyn Miller located?

Kaitlyn Miller practices at 4103 Boardwalk Dr Unit 202, Fort Collins, CO 80525. The listed phone number is (970) 494-9870.

What is Kaitlyn Miller's specialty?

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

Is Kaitlyn Miller enrolled in Medicare?

No. Kaitlyn Miller has opted out of Medicare through June 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kaitlyn Miller was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.