SHATOYA T MILLER LCSW
NPI 1740093467
Social Worker - Clinical in Champaign, IL

Active since January 28, 2025PECOS Enrolled
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-5855 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shatoya T Miller Lcsw NPPES

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

SHATOYA T MILLER LCSW (NPI 1740093467) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149028261) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740093467
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHATOYA T MILLERCredential: LCSW
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address1830 E Amber Ln Apt 205Urbana, IL 61802-7191 · (661) 974-5590
Sole ProprietorYes
Enumeration DateJanuary 28, 2025
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1740093467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149028261
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 ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1802 S MATTIS AVE, Champaign, IL 61821

Other Names 1

Professional Name (2)Shatoya T Miller Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shatoya T Miller Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821

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 Shatoya Miller's NPI number?

The NPI number for Shatoya Miller is 1740093467. It was assigned to this individual provider in the NPPES registry on January 28, 2025. The provider is also known as Shatoya T Miller Lcsw.

Where is Shatoya Miller located?

Shatoya Miller practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-5855.

What is Shatoya Miller's specialty?

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

Is Shatoya Miller enrolled in Medicare?

Yes. Shatoya Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shatoya Miller was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.