JENNETTE MILLER
NPI 1780995563
Social Worker - Clinical in Groton, CT

Active since June 28, 2010
10 FORT HILL RD STE 1, GROTON, CT 06340(203) 868-1850(860) 415-8385 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennette Miller NPPES

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

JENNETTE MILLER (NPI 1780995563) is an individual clinical provider in Groton, Connecticut and active in the NPI registry since June 2010. She maintains a secondary practice location in New London.

NPPES Registry Identity

NPI1780995563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNETTE MILLER
Location Address10 FORT HILL RD STE 1Groton, CT 06340-4760
Mailing Address10 Fort Hill Rd Ste 1Groton, CT 06340-4760 · (203) 868-1850
Fax(860) 415-8385
Sole ProprietorNo
Enumeration DateJune 28, 2010
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1780995563 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.
10 FORT HILL RD STE 1, Groton, CT 06340

Secondary Practice Location 1

Location 175 Granite StNew London, CT 06320-5770 · Phone (860) 442-2797

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Jennette Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
591 POQUONNOCK RD
Groton, CT 06340
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
10 FORT HILL RD STE 1
GROTON, CT 06340

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 Jennette Miller's NPI number?

The NPI number for Jennette Miller is 1780995563. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Jennette Miller located?

Jennette Miller practices at 10 Fort Hill Rd Ste 1, Groton, CT 06340. The listed phone number is (203) 868-1850.

What is Jennette Miller's specialty?

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

Is Jennette Miller enrolled in Medicare?

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

Which organization bills Medicare for Jennette Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennette Miller reassigns Medicare benefits to Child And Family Agency Of Southeastern Connecticut, Inc. (Groton, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennette Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennette Miller was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.