Miracle Hallman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082282 Issued in DC

Practice address

351 S Fuller Ave Apt 4C
Los Angeles, CA 90036-6918

Phone

(323) 251-6977

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

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

• Mrs. Miracle Nelson 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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1154005544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S FULLER AVE APT 4C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366918",
            "telephone_number": "323-251-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S FULLER AVE APT 4C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366918",
            "telephone_number": "323-251-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "MIRACLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRACLE",
            "last_name": "NELSON",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Rose Hallett, LCSW
• Hallie Cameron Licensed Marriage and Family Therapist Apc
• Cameron Elaine Hallisey
• Patricia Anne Halliwell
• Jennifer Renee Hallman, LCSW
• Amanda Halloway, MA, AMFT
• James Halls, M.D.
• Nancy J Halnon, M.D.
• Halo Care Transportation LLC
• Halo Consulting Group, Inc.

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.