BRANDON KEITH MILLER (NPI# 1255940599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255940599 |
| Entity Type | Individual |
| Full Name | BRANDON KEITH MILLER |
| Credential | LSW |
| Practice Address |
309 W Clark St Champaign IL 61820-4637 |
| Mailing Address |
403 Compton Ave Champaign IL 61822-7353 |
| Practice Telephone | 2173989066 |
| Practice Fax Number | 2173989077 |
| Mailing Telephone | 3314255283 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 150.104394 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 704 N Main St, Tuscola, IL 619531000 | 2173989066 | 2173989077 |
| 2001 Philo Rd, Urbana, IL 618028007 | 2173989066 | 2173989077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124369632 | Brandon D Miller | General Acute Care Hospital | 2007 Pelican Hill Rd, San Diego, CA 92139-1152 | 2013-03-07 |
| 1952685679 | Brandon M Miller | Counselor | 502 S 26th St, Lafayette, IN 47904-3207 | 2011-09-29 |
| 1033179254 | Brandon Wayne Miller | Family Medicine | 521 E Elder St Ste 105, Fallbrook, CA 92028-3082 | 2006-03-23 |
| 1760007173 | Brandon Edward Miller | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-11 |
| 1346888757 | Brandon Patrick Miller | Behavior Technician | 655 N Indiana Ave Unit A, Englewood, FL 34223-2756 | 2019-12-16 |
| 1144796178 | Brandon Scott Miller | Counselor | 103 Highway 82, Enterprise, OR 97828-6011 | 2018-10-17 |
| 1124523105 | Brandon John Miller | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2018-03-29 |
| 1205344645 | Brandon C Miller | Foster Care Agency | 1755 N 200 E, Logan, UT 84341-1915 | 2018-01-19 |
| 1235659442 | Brandon Miller | Internal Medicine | 3685 N 129th St, Omaha, NE 68164-5211 | 2017-06-20 |
| 1265894992 | Brandon Miller | Hearing Instrument Specialist | 682 E Main St, Ste 1a, Middletown, NY 10940-2646 | 2016-03-22 |
| Street Address |
309 W CLARK ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871877621 | Kevin Elliott Counseling, Inc. | Social Worker | 309 W Clark St, Champaign, IL 61820 | 2011-09-28 |
| 1639789324 | Jessica E Runde | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2020-08-06 |
| 1174143341 | Maggie Ruth Scott | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2020-04-17 |
| 1285267799 | Lawanda Reshawna Mcgee | Social Worker | 309 W Clark St, Champaign, IL 61820-4637 | 2020-02-13 |
| 1801430988 | Wade Stark | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2019-11-01 |
| 1003459306 | Phyllis Ann Webster | Social Worker | 309 W Clark St, Champaign, IL 61820-4637 | 2019-10-20 |
| 1245872803 | Analise Atchison | Social Worker | 309 W Clark St, Champaign, IL 61820-4637 | 2019-10-15 |
| 1336798834 | Emma Lorimor | Social Worker | 309 W Clark St, Champaign, IL 61820-4637 | 2019-09-06 |
| 1417506916 | Rachel Bunyard | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2019-09-06 |
| 1639636749 | Vicky Welge | Counselor | 309 W Clark St, Champaign, IL 61820-4637 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609427269 | Willow Counseling LLC | Social Worker | 1415 Cobblestone Way, Champaign, IL 61822-2068 | 2019-09-25 |
| 1003395831 | Kevin Joseph Elliott | Social Worker | 1807 S Neil St, Champaign, IL 61820-7215 | 2018-08-13 |
| 1033570437 | Rani Brandon | Social Worker | 401 Springfield, Champaign, IL 61820-1911 | 2016-03-11 |
| 1497156954 | Tearra Mcdade | Social Worker | 905 Berwick Dr, 2, Champaign, IL 61822-1885 | 2014-09-15 |
| 1932531084 | Rochelle Spies | Social Worker | 1216 W John St, Champaign, IL 61821-3804 | 2013-07-31 |
| 1881037513 | Kelly Marie Mcnellis | Social Worker | 703 W Church St, Apt H, Champaign, IL 61820-3352 | 2013-04-11 |
| 1073856159 | Alicia Lorine Williams | Social Worker | 202 West Park St, Champaign, IL 61820-3723 | 2013-03-27 |
| 1750623302 | Sharnice Denine Jones | Social Worker | 21 Thatcham Dr Apt 12, Champaign, IL 61820-2380 | 2013-03-21 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1912215252 | Candace Logan | Social Worker | 311 W White St, Champaign, IL 61820-4805 | 2010-09-21 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.