Healthcare Provider Details

I. General information

NPI: 1619662913
Provider Name (Legal Business Name): DARCY M MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5435 LAFAYETTE AVE
OMAHA NE
68132-1371
US

IV. Provider business mailing address

5435 LAFAYETTE AVE
OMAHA NE
68132-1371
US

V. Phone/Fax

Practice location:
  • Phone: 402-301-4328
  • Fax:
Mailing address:
  • Phone: 402-301-4328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: