BERENICE MIRANDA
NPI 1104691740
Social Worker in Chicago, IL

Active since November 22, 2023
6639 N KEDZIE AVE, CHICAGO, IL 60645(773) 765-3120 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Berenice Miranda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERENICE MIRANDA (NPI 1104691740) is an individual social worker in Chicago, Illinois and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104691740
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBERENICE MIRANDA
Location Address6639 N KEDZIE AVEChicago, IL 60645-4161
Mailing Address6221 S Troy StChicago, IL 60629-2607 · (773) 896-5011
Sole ProprietorNo
Enumeration DateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1104691740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

6639 N KEDZIE AVE, Chicago, IL 60645

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6639 N KEDZIE AVE
CHICAGO, IL 60645
Occupational Therapist
6639 N KEDZIE AVE
CHICAGO, IL 60645
Marriage & Family Therapist
6639 N KEDZIE AVE
CHICAGO, IL 60645
Social Worker
6639 N KEDZIE AVE
CHICAGO, IL 60645
Social Worker (Clinical)
6639 N KEDZIE AVE
CHICAGO, IL 60645
Social Worker
6639 N KEDZIE AVE
CHICAGO, IL 60645
Community/Behavioral Health
6639 N KEDZIE AVE
CHICAGO, IL 60645
Case Manager/Care Coordinator
6639 N KEDZIE AVE
CHICAGO, IL 60645

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104691740, enumerated as an "individual" on November 22, 2023.

The provider is located at 6639 N KEDZIE AVE CHICAGO, IL 60645 and the phone number is (773) 765-3120.

Social Worker with taxonomy code 104100000X.