National Provider Identifier
Derek Miller, LCSW
Derek Miller, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 368-6900.
Profile Overview
- NPI
- 1316364904
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 21, 2014
- Last Updated
- April 16, 2025
Practice Location
- 81 Lake Ave
- Rochester, NY 14608-1410
Phone: (585) 368-6900
Mailing Address
- 49 Parkedge St
- Rochester, NY 14606-3045
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1316364904
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Derek
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 49 Parkedge St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-3045
- Mailing Country
- US
- Mailing Phone
- (716) 785-4227
- Practice Street Address
- 81 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1410
- Practice Country
- US
- Practice Phone
- (585) 368-6900
- Practice Fax
- (585) 546-5806
- Enumeration Date
- March 21, 2014
- Last Updated
- April 16, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)