Active NPIIndividual providerSole proprietor

Jennifer Miller, LICSW

Social Worker, Clinical in Somerville, Massachusetts

NPI Number1194208314
Practice location
399 Revolution Dr, Somerville, MA 02145-1484
Fax
—
Last updated
September 17, 2026

Jennifer Miller is a Social Worker, Clinical based in Somerville, MA. Jennifer Miller practices in Somerville, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Miller is 1194208314 and holds a License No. 113746 (MA). The current practice location address for Jennifer Miller is 399 Revolution Dr, Somerville, MA 02145-1484 and can be reached out via phone at 857-523-2233.

Provider Profile Details

NPI Number
1194208314
Provider Name
Jennifer Miller
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
399 Revolution Dr, Somerville, MA 02145-1484
Phone Number
857-523-2233
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2018
Last Update Date
September 17, 2026
Certification Date
September 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
399 Revolution Dr
Somerville, MA 02145-1484
Zip
02145-1484
Phone Number
857-523-2233
Somerville, MA 02145Get directions →

Provider Business Mailing Address Details

Address
78 Macarthur RD
Natick, MA 01760-2938
City
Natick
State
MA
Zip
01760-2938
Phone Number
617-721-9902

License Information

License Number
113746
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Miller, LICSW?

The NPI number of Jennifer Miller, LICSW is 1194208314. It was assigned on September 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Jennifer Miller, LICSW?

Jennifer Miller, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113746.

Where does Jennifer Miller, LICSW practice?

The practice location is 399 Revolution Dr, Somerville, MA 02145-1484. The office can be reached at 857-523-2233 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194208314 directly on the NPPES registry website.

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