Arrow Defined Therapeutic Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ARROW DEFINED THERAPEUTIC SERVICES, LLC

Practice address

11923 Longwood Dr # 2
Blue Island, IL 60406-1223

Phone

(832) 631-2253

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaniqua Miles, LCSWNPI 1710596804

Title

Supervisor

Phone

(773) 691-5306

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaniqua Miles, LCSW

  • Clinical Social Worker
  • Bloomington, IL
  • NPI 1710596804
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1831848027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 AMELIA RD # J172",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11923 LONGWOOD DR # 2",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061223",
            "telephone_number": "832-631-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROW DEFINED THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SHANIQUA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "773-691-5306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Blue Island, IL
• Providers in Blue Island, 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 23, 2022; 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.