JENNIFER MILES (LICSW) – Clinical Social Worker, NPI 1073396271

JENNIFER MILES (LICSW) is a healthcare provider. based in Red wing, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 29797 (MN). The NPI Number for JENNIFER MILES (LICSW) is 1073396271

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MILES (LICSW)
NPI
1073396271
Phone
(651) 327-2270
Address
2835 S SERVICE DR
Enumeration Date
14 August 2023
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513272270
Graduation Year
2021 (5 years ago)
PAC ID
2769830959
Group Practice PAC ID
7113026998
Professional Enrollment ID
I20231129000158
Address ID
MN550661835RE2835XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for JENNIFER MILES (LICSW)

  • 2835 S SERVICE DR

    RED WING, MN 550661882

    Phone: (651) 327-2270

    Mailing address matches the actual address.

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: 2023-11-29

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
I20231129000158IClinical Social WorkerMNTBD

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 55066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113026998View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Physician AssistantMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Physician AssistantMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER MILES (LICSW)?
The federal identifier for JENNIFER MILES (LICSW) is NPI 1073396271.
Is JENNIFER MILES (LICSW)'s NPI currently valid?
The extract we use shows JENNIFER MILES (LICSW) as active.
Can you summarize JENNIFER MILES (LICSW)'s specialty in plain language?
Clinically, the directory lists JENNIFER MILES (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER MILES (LICSW)?
The snapshot lists Red Wing, Minnesota for JENNIFER MILES (LICSW); download NPPES for the complete set.
How can I contact JENNIFER MILES (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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