Jean Mirabella, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

9401 S 53Rd CT
Oak Lawn, IL 60453-2426

Phone

(708) 423-3361

Fax

(708) 499-7093

NPI assigned

Jan 10, 2007

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Village of Oak Lawn Family Service

  • Clinical Social Worker
  • Oak Lawn, IL
  • NPI 1164445557
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730238478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S 53RD CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532426",
            "telephone_number": "708-423-3361",
            "fax_number": "708-499-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S 53RD CT",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532426",
            "telephone_number": "708-423-3361",
            "fax_number": "708-499-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLA",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L. Miller, CRNA
• Ruby Minhas, M.D.
• Minis Inc
• Julie Anne Minser, RN, MSN, AGNP-BC
• Priscila Audrey Miori
• Mohammed Yahya Mirza, MD
• Nureain Mirza, MD
• Kelly Misakian, FNP
• Seetal Mishra, M.D.
• Jonathan Miskevics, LPC

• Clinical Social Worker in Oak Lawn, IL
• Providers in Oak Lawn, 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 Jul 8, 2007; 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.