MS. BROOKE MILLER MSW
NPI 1669679783
Social Worker - Clinical in Forest Grove, OR

Active since July 02, 2007Opted out of Medicare · through Apr 1, 2028
4110 PACIFIC AVE, SUITE 102, FOREST GROVE, OR 97116(503) 601-5400(503) 601-5410 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Brooke Miller Msw NPPES

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

MS. BROOKE MILLER MSW (NPI 1669679783) is an individual clinical provider in Forest Grove, Oregon, licensed in Oregon (L4757) and active in the NPI registry since July 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669679783
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BROOKE MILLERCredential: MSW
Location Address4110 PACIFIC AVE, SUITE 102Forest Grove, OR 97116-2383
Mailing Address4110 Pacific Ave, Suite 102Forest Grove, OR 97116-2383 · (503) 601-5400 · Fax (503) 601-5410
Fax(503) 601-5410
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateAugust 25, 2014
NPI 1669679783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OR · L4757 Licensed in CA · ASW 17574
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.
4110 PACIFIC AVE, Forest Grove, OR 97116

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Brooke Miller Msw 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 April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
4110 PACIFIC AVE, SUITE 202
FOREST GROVE, OR 97116
Counselor (Mental Health)
4110 PACIFIC AVE, SUITE 202
FOREST GROVE, OR 97116
Marriage & Family Therapist
4110 PACIFIC AVE, SUITE 202
FOREST GROVE, OR 97116
Marriage & Family Therapist
4110 PACIFIC AVE, SUITE 102
FOREST GROVE, OR 97116
Registered Nurse (Psychiatric/Mental Health)
4110 PACIFIC AVE, STE.202
FOREST GROVE, OR 97116

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 Brooke Miller's NPI number?

The NPI number for Brooke Miller is 1669679783. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Brooke Miller located?

Brooke Miller practices at 4110 Pacific Ave Suite 102, Forest Grove, OR 97116. The listed phone number is (503) 601-5400.

What is Brooke Miller's specialty?

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

Is Brooke Miller enrolled in Medicare?

No. Brooke Miller has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brooke Miller accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brooke 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 Brooke Miller was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.