MEDICARE: MRS. JENNIFER KAY MILLER LMSW

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	104100000X	Social Worker	124335	IA

General Provider Information

NPI Number	:	1306708979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER KAY MILLER LMSW

Provider Business Mailing Address
First Line	:	120 PARK LANE DR
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3411
Country	:	US
Telephone Number	:	641-330-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N EISENHOWER AVE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-1521
Country	:	US
Telephone Number	:	641-330-6450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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