Individual Healthcare Provider
Jessica Renee Miller, LCSW
Provider's NPPES record last updated: October 15, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124478979
- Primary Specialty
- Social Worker — Clinical
- Practice Location
- Bristow, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:15 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Social Worker
Clinical
Behavioral Health & Social Service Providers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Taxonomy code 1041C0700X
Provider-Reported License Information
- Social Worker (Virginia)
- 0904011234
Practice Locations
Practice Location
11835 Hazel Circle Dr
Bristow, Virginia 20136-1223
Phone: (703) 310-7378
Additional Practice Location
14900 Bogle Dr
Suite 200
Chantilly, Virginia 20151-1756
Phone: (703) 817-9890
Fax: (703) 817-9860
Record Information
- Enumeration Date
- June 13, 2016
- Provider's NPPES Record Last Updated
- October 15, 2019
- NPISignal NPPES Dataset
- August 2026
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