MR. BRUCE LEE MILLER (LCSW) – Social Worker, NPI 1801175229

MR. BRUCE LEE MILLER (LCSW) is a healthcare provider. based in Provo, Utah. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2024049967 (MO). The NPI Number for MR. BRUCE LEE MILLER (LCSW) is 1801175229

Main info

Male
Sole Proprietor
4 Years Of Experience
Name
MR. BRUCE LEE MILLER (LCSW)
NPI
1801175229
Phone
(801) 373-4760
Address
750 N FREEDOM BLVD
Enumeration Date
16 August 2011
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
0244745800
Professional Enrollment ID
I20250714000556
Address ID
MO653013821SE305XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Digital endpointsOther names

965 CLINICAL SOCIAL WORKER in UT

Provider Addresses for MR. BRUCE LEE MILLER (LCSW)

  • 750 N FREEDOM BLVD

    PROVO, UT 846011677

    Phone: (801) 373-4760

    Fax: (801) 373-0963

    Type: Mailing

  • 305 W MAIN ST

    SEDALIA, MO 653013821

    Phone: (660) 310-0909

    Fax: (888) 979-8868

    Type: Mailing

  • 17571 N DAM ACCESS RD

    WARSAW, MO 653556396

    Phone: (660) 438-2717

    Fax: (660) 438-2313

    Type: Location

  • 17571 N Dam Access Rd

    Warsaw, MO 653556396

    Phone: (660) 438-2717

    Fax: (660) 438-2313

    Type: Location

  • 4328 N POPLAR ST

    EAGLE MOUNTAIN, UT 840055694

    Phone: (801) 674-5311

    Type: Mailing

  • 405 E 12450 S

    DRAPER, UT 840207957

    Phone: (801) 800-0851

    Type: Location

  • 821 WESTWOOD DR

    SEDALIA, MO 653012102

    Phone: (660) 826-4774

    Fax: (888) 979-8868

    Type: Mailing

  • 20363 LANE OF CHAMPIONS

    WARSAW, MO 653556463

    Phone: (660) 438-7120

    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: 2025-07-14

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
I20250714000556IClinical Social WorkerMOTBD

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 84601)

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Reviews

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Frequently asked questions

What number should I use to identify MR. BRUCE LEE MILLER (LCSW) for billing?
Administrative and clinical systems typically use NPI 1801175229 for MR. BRUCE LEE MILLER (LCSW).
Is MR. BRUCE LEE MILLER (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists MR. BRUCE LEE MILLER (LCSW) as active.
What type of care does MR. BRUCE LEE MILLER (LCSW) provide?
MR. BRUCE LEE MILLER (LCSW)'s profile centers on Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to MR. BRUCE LEE MILLER (LCSW)?
The directory associates MR. BRUCE LEE MILLER (LCSW) with Provo, Utah. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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