MR. JEREMY KEITH MILLER (MSW, LISW-S,LICDC-CS) – Clinical Social Worker, NPI 1053797613
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,650 CLINICAL SOCIAL WORKER in OH
Provider Addresses for MR. JEREMY KEITH MILLER (MSW, LISW-S,LICDC-CS)
3401 GLENDALE AVE STE 200
TOLEDO, OH 436142490
Phone: (567) 218-1980
Type: Mailing
1425 STARR AVE
TOLEDO, OH 436052456
Phone: (419) 693-0631
Fax: (419) 936-7606
Type: Mailing
406 DULTON DR
TOLEDO, OH 436155109
Phone: (567) 218-1980
Type: Mailing
323 S Main St
Akron, OH 443081203
Phone: (234) 271-5785
Type: Location
3409 N Holland Sylvania Rd Ste 11
Toledo, OH 436151405
Phone: (567) 742-7117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2017-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170609001180 | I | Clinical Social Worker | OH | TBD |
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.
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 43614)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.