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Deactivated NPI 1871634071 Deactivated / Inactive NPI Male Practitioner

Gary Frederick Miller , MSW ACSW LICSW BCD

Social Worker • Virginia, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2007
NPI Deactivation Date June 07, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Gary Miller, MSW ACSW LICSW BCD was a registered Social Worker practicing in Virginia, MN. Throughout an active medical career spanning 16 years, Gary Miller provided care at the practice location at 624 S 13TH STREET until profile deactivation on 2023-06-07.

Practice Location & Contact Primary Location

Practice Address

624 S 13th Street
P O 1188

Virginia, MN 55792

Telephone 2187414714
Fax 2187413080
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Virginia, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Virginia, MN (1047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MN 1447

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kay Hanson , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1043362973

Registered Nurse

Janice Krebsbach Florey , MSW LICSW

Social Worker - Clinical

NPI 1750482139

MSWLICSW

Caryn Walters , MS, LPCC

Counselor - Professional

NPI 1972874105

Master of Science, Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

NPI Profile Active October 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2010

Registered at 624 S 13TH STREET, P O 1188, VIRGINIA, MN 55792 (Tel: 2187414714)

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Updated Business Mailing Address October 01, 2010

Registered at 3203 W 3RD AVE, HIBBING, MN 55746 (Tel: 2182639237)

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Provider Name / Credentials Updated October 01, 2010

Recorded as GARY MILLER, MSW ACSW LICSW BCD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2010

Social Worker (License #1447 in MN)

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Initial NPI Registration & Enumeration February 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871634071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: October 01, 2010
Deactivation Date: June 07, 2023

Mailing Address

3203 W 3rd Ave

Hibbing, MN 55746

Phone: 2182639237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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