MR. KENNETH SCOTT MILLER (LMSW) – Clinical Social Worker, NPI 1730120478

MR. KENNETH SCOTT MILLER (LMSW) is a healthcare provider. based in East lansing, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 33002131A (IN). The NPI Number for MR. KENNETH SCOTT MILLER (LMSW) is 1730120478

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH SCOTT MILLER (LMSW)
NPI
1730120478
Phone
(317) 341-3025
Address
2875 NORTHWIND DR
Enumeration Date
10 June 2006
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173413025
Graduation Year
1993 (33 years ago)
PAC ID
8527086081
Professional Enrollment ID
I20051103000725
Address ID
MI488238452EA780XXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MR. KENNETH SCOTT MILLER (LMSW)

  • Northwind Drive, East Lansing, Meridian Charter Township, Ingham County, Michigan, 48823, United States

    SUITE 106

    EAST LANSING, MI 488235092

    Phone: (317) 341-3025

    Type: Mailing

  • 780 W LAKE LANSING RD STE 100

    EAST LANSING, MI 488238452

    Phone: (517) 798-6118

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051103000725IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48823)

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Reviews

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Frequently asked questions

Can I cross-check MR. KENNETH SCOTT MILLER (LMSW) using NPI 1730120478?
NPI 1730120478 belongs to MR. KENNETH SCOTT MILLER (LMSW); compare other details if you need extra assurance.
Active or inactive — what applies to MR. KENNETH SCOTT MILLER (LMSW)?
You should see MR. KENNETH SCOTT MILLER (LMSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. KENNETH SCOTT MILLER (LMSW)?
At a glance, MR. KENNETH SCOTT MILLER (LMSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. KENNETH SCOTT MILLER (LMSW) associated with East Lansing?
Public fields place MR. KENNETH SCOTT MILLER (LMSW) around East Lansing, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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