KYLE WILLIAM MILLER LCSW
NPI 1629744917
Social Worker - Clinical in Eldorado, IL

Q: What is Kyle Miller's NPI number?

The NPI number for Kyle Miller is 1629744917. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Q: What is Kyle Miller's specialty?

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

Q: Is Kyle Miller enrolled in Medicare?

No. Kyle Miller has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyle Miller was last updated on August 18, 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.

Active since August 18, 2021Opted out of Medicare · through Mar 4, 2028

1200 LOCUST ST, ELDORADO, IL 62930(618) 697-8005 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Kyle William Miller Lcsw NPPES

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

KYLE WILLIAM MILLER LCSW (NPI 1629744917) is an individual clinical provider in Eldorado, Illinois and active in the NPI registry since August 2021. He has opted out of Medicare through March 4, 2028 and maintains a secondary practice location in Murphysboro.

NPPES Registry Identity

NPI1629744917

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKYLE WILLIAM MILLERCredential: LCSW

Location Address1200 LOCUST STEldorado, IL 62930-1723

Mailing Address1200 Locust StEldorado, IL 62930-1723 · (618) 687-8005

Phone(618) 697-8005

Sole ProprietorNo

Enumeration DateAugust 18, 2021

NPPES CertifiedAugust 11, 2021

✔ NPI 1629744917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1200 LOCUST ST, Eldorado, IL 62930

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Secondary Practice Location 1

Location 11400 N Wood RdMurphysboro, IL 62966-6290 · Phone (618) 687-8005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyle William 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 March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024

Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MR. FRANKO GILBERT TESTON

Psychologist (Counseling)