Kendra Marie Suddeth Miller, LISW-CP
NPI 1265163687ActiveIndividual· Social Worker, Clinical· Blythewood, SC
Social Worker, Clinical (LISW-CP) with Charleston Counseling Center PC, practicing in Blythewood, South Carolina. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1265163687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-CP |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2022 |
| Last updated in NPPES | Nov 21, 2023 |
| Certified by provider | Nov 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 13581 | SC |
| Social Worker, School | 1041S0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (SC) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Charleston Counseling Center PCMount Pleasant, SC · 203 clinicians
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All 15 clinical social workers in Blythewood · All clinical social workers in South Carolina