Miah Selena Eidenschink, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107873 Issued in TX

Practice address

224 W D. L. Ingram Avenue
BLDG. 1408
Cannon AFB, NM 88103-5014

Phone

(575) 904-3911

NPI assigned

May 31, 2022

Last updated

Aug 3, 2025By the provider in NPPES

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

Other names 1

• Miah Selena Aranda 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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1720727662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W D. L. INGRAM AVENUE",
            "address_2": "BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "575-904-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W D. L. INGRAM AVENUE",
            "address_2": "BLDG. 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "575-904-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDENSCHINK",
        "first_name": "MIAH",
        "middle_name": "SELENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIAH",
            "last_name": "ARANDA",
            "middle_name": "SELENA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Briana Alyssa Daniel
• Kathryn Dearing, PA-C
• Francisco S Deguzman, IDMT-P
• Portia Doughty, LCSW
• Elizabeth Duffy-Milmo, MD
• Nicholas Y Eisenberg, MD
• Jason Anthony Evans, IDMT
• Riley Everson, LCSW
• Jesse Ferrell, IDMT
• Alexandrea May Floyd, LCSW

• Clinical Social Worker in Cannon AFB, NM
• Providers in Cannon AFB, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; 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.