Maria Mirza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016140 Issued in IL

Practice address

55 E Monroe St Ste 3800
Chicago, IL 60603-6030

Phone

(312) 714-0341

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colliance Wellness PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1326555855
  Authorized official Same address or phone

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518470368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E MONROE ST STE 3800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036030",
            "telephone_number": "312-714-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E MONROE ST STE 3800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036030",
            "telephone_number": "312-714-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Michigan Ave Ste 618",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606013904",
            "country_code": "US",
            "telephone_number": "773-800-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faraz Ali Mirza, MS, OTR/L
• Fatima Nadeem Mirza
• Hajira Mirza
• Irfan A Mirza, MD
• Jadis SD Mirza
• Mariam Mirza
• Mohammed Hashim Mirza, MD
• Muzaffar Mirza, DDS
• Noveera Abeer Mirza, MD
• Rukhsana Gohar Mirza, M.D.

• 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 Mar 17, 2018; 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.