Miranda Estrada, LSW
Social Worker in Oak Park, IL. Individual provider (NPI-1).
NPI number1104760602
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1104760602
- Entity type
- Individual (NPI-1)
- Name
- Miranda Estrada
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2026
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 150.117053 | IL | Yes |
Practice location
120 S Marion StOak Park, IL 60302-2809
Phone 708-383-7500
Mailing address
3402 S 58th AveCicero, IL 60804-3842
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 85 Social Worker providers in Oak Park · All 3,051 providers in Oak Park
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