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

Q: 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.

Q: What is Shaniqua Miles's specialty?

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

Q: 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 9 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.

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: August 02, 2026.

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

On this page

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 119500 St Hwy 249 Ste 120Houston, TX 77070-3027 · Phone (844) 824-8775 · Fax (281) 648-2200

Location 213934 S State StRiverdale, IL 60827-2018 · Phone (773) 691-5306

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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, I20220527000643

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.

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)