Miranda Stone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149021396 Issued in IL

Practice address

2539 N Kedzie Blvd Ste 4
Chicago, IL 60647-1435

Phone

(310) 776-0107

NPI assigned

Nov 5, 2019

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

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1174167910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 W THOMAS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514143",
            "telephone_number": "310-776-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 N KEDZIE BLVD STE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471435",
            "telephone_number": "310-776-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Stuart Stone, MD
• Lori K Stone, CRNA
• Lynda Stone, PH.D
• Maria Stone, FNP-BC
• Marilyn Pina Stone
• Neil J. Stone, M.D.
• Nicholas James Stone, MD
• Rebecca Marie Stone, MSW
• Shaun Adriel Stone, LPC-S
• Stefanie Music Stone

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Nov 5, 2019; 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.