Shaniqua Miles, LCSW
Social Worker, Clinical in Bloomington, IL. Individual provider (NPI-1).
NPI number1710596804
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1710596804
- Entity type
- Individual (NPI-1)
- Name
- Shaniqua Miles
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2020
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149020881 | IL | Yes |
| 1041C0700X | Social Worker, Clinical | 106734 | TX |
Practice location
808 S Eldorado Rd Ste 300Bloomington, IL 61704-6009
Phone 630-428-7890
Mailing address
4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone 630-428-7890
Other practice locations
19500 St Hwy 249 Ste 120
Houston, TX 77070-3027
Houston, TX 77070-3027
Phone 844-824-8775 · Fax 281-648-2200
13934 S State St
Riverdale, IL 60827-2018
Riverdale, IL 60827-2018
Phone 773-691-5306
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