Shaniqua Miles, LCSW
NPI 1710596804 · Clinical Social Worker · Bloomington, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1710596804
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149020881 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 13934 S State StRiverdale, IL 60827-2018Phone: (773) 691-5306
- 19500 St Hwy 249 Ste 120Houston, TX 77070-3027Phone: (844) 824-8775Fax: (281) 648-2200
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.