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

Shaniqua Miles, LCSW

Individual provider Clinical Social Worker · NPI 1710596804

Shaniqua Miles, LCSW is a Clinical Social Worker in Bloomington, Illinois. Qualified in 2014, 12 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
12
Licensed in
IL, TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

808 S Eldorado Rd Ste 300
Bloomington, IL 61704-6009
Phone: (630) 428-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13934 S State St, Riverdale, IL 60827-2018 — (773) 691-5306
  • 19500 St Hwy 249 Ste 120, Houston, TX 77070-3027 — (844) 824-8775

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149020881 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 106734 (TX)

Record details

NPI number1710596804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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