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SHANIQUA MILES LCSW
NPI 1710596804
Social Worker - Clinical in Bloomington, IL

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
808 S ELDORADO RD STE 300, BLOOMINGTON, IL 61704(630) 428-7890 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Nov 17, 2023, Jul 24, 2020 (3 updates tracked since 2020).

About Shaniqua Miles Lcsw NPPES

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

SHANIQUA MILES LCSW (NPI 1710596804) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149020881) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710596804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANIQUA MILESCredential: LCSW
Location Address808 S ELDORADO RD STE 300Bloomington, IL 61704-6009
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (630) 428-7890
Phone(630) 428-7890
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 24, 2020
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1710596804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149020881✔ Licensed in TX · 106734
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
808 S ELDORADO RD STE 300, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113934 S State StRiverdale, IL 60827-2018 · Phone (773) 691-5306
Location 219500 St Hwy 249 Ste 120Houston, TX 77070-3027 · Phone (844) 824-8775 · Fax (281) 648-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaniqua Miles Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092128389
PECOS Enrollment IDI20210105002391
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shaniqua Miles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
95 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

AMY MUELLER LCPC
Counselor (Professional)
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
MARY CATHERINE CRITES MS, LCPC
Counselor (Professional)
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 61704
McLean County (309) 827-2962
ADAM ELLIOTT WESELOH PHD
Psychologist
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 61704
McLean County (309) 827-2962
LANGE K PAYNE LPC, LMFTA
Counselor (Professional)
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 61704
McLean County (660) 624-0646
LACEY JO LOWERS LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 61704
McLean County (630) 428-7890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaniqua Miles's NPI number?

The NPI number for Shaniqua Miles is 1710596804. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Shaniqua Miles located?

Shaniqua Miles practices at 808 S Eldorado Rd Ste 300, Bloomington, IL 61704. The listed phone number is (630) 428-7890.

What is Shaniqua Miles's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shaniqua Miles enrolled in Medicare?

Yes. Shaniqua Miles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shaniqua Miles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaniqua Miles reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaniqua Miles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaniqua Miles accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Shaniqua Miles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaniqua Miles was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.