Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Nicole Shumate

Individual provider Clinical Social Worker · NPI 1073161667

Miranda Nicole Shumate is a Clinical Social Worker in Denver, Colorado. Qualified in 2015, 11 years ago. Practices with Sondermind PC, a 63-clinician group and works from 2 locations. Licensed in Colorado and Illinois.

Years since qualifying
11
Licensed in
CO, IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2100 N Broadway
Denver, CO 80205-2526
Phone: (303) 293-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2590 Welton St Ste 200, Denver, CO 80205-4268 — (312) 361-0834

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09926723 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.020460 (IL)

Record details

NPI number1073161667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sondermind Pc — 63 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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