Miranda Harris, LCSW, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017417 Issued in IL

Practice address

12040 Raymond CT
Huntley, IL 60142-8069

Phone

(847) 515-1505

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miranda Tobias Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1124533740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 ALBRIGHT LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898902",
            "telephone_number": "248-535-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 RAYMOND CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428069",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MIRANDA",
        "credential": "LCSW, MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "TOBIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Marie Hall, MPH, CHES, NBC-HWC
• Fred J Halloran, MD
• Lois Mildred Hanley
• Eric Hanson, RD
• Mary Harner, PTA
• Carissa Harvey, PSYD
• Afreeda Adnan Hashmi, M.D
• Sara Hausl
• Robin E Hayden, P.T.
• Heidi Naumowicz, LCSW, LLC

• Clinical Social Worker in Huntley, IL
• Providers in Huntley, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.