MEDICARE: Y MILLER LMSW SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538016761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y MILLER LMSW SERVICES

Provider Business Mailing Address
First Line	:	56 BEACH STREET
Second Line	:	GROUND FLOOR-AGAINST DA GRAIN
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304
Country	:	US
Telephone Number	:	347-460-6525
Fax Number	:	347-460-6525

Provider Business Practice Location Address
First Line	:	56 BEACH STREET
Second Line	:	GROUND FLOOR-AGAINST DA GRAIN
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304
Country	:	US
Telephone Number	:	347-460-6525
Fax Number	:	347-460-6525

Authorized Official
Title or Position	:	OWNER
Name	:	YASMIN MILLER
Credential	:	MILLER
Telephone Number	:	347-460-6525

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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