JOHN CLARK MILLER (LCSW) – Clinical Social Worker, NPI 1174643738

JOHN CLARK MILLER (LCSW) is a healthcare provider. based in Rockaway beach, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 12-03-71 (OR). The NPI Number for JOHN CLARK MILLER (LCSW) is 1174643738

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CLARK MILLER (LCSW)
NPI
1174643738
Phone
(541) 377-1631
Address
PO BOX 146
Enumeration Date
29 March 2007
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413771631
Graduation Year
2007 (19 years ago)
PAC ID
0749408367
Professional Enrollment ID
I20140822002648
Address ID
OR97130XXXXMAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for JOHN CLARK MILLER (LCSW)

  • PO BOX 146

    ROCKAWAY BEACH, OR 971360146

    Phone: (541) 377-1631

    Fax: (971) 606-2001

    Type: Mailing

  • 60 LANEDA AVENUE

    SUITE 202

    MANZANITA, OR 971300000

    Phone: (971) 324-0061

    Fax: (971) 606-2001

    Type: Location

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: 2014-08-22

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
I20140822002648IClinical Social WorkerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour24824$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 97136)

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Reviews

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Frequently asked questions

What is the registry number for JOHN CLARK MILLER (LCSW)?
The registry entry for JOHN CLARK MILLER (LCSW) shows NPI 1174643738.
Is JOHN CLARK MILLER (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists JOHN CLARK MILLER (LCSW) as active.
What services align with JOHN CLARK MILLER (LCSW)'s listing?
JOHN CLARK MILLER (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN CLARK MILLER (LCSW)?
JOHN CLARK MILLER (LCSW) is associated with Rockaway Beach, Oregon in the same public data insurers reference.
Can I export JOHN CLARK MILLER (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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