Miracleworks Therapy & Consulting LLC
Social Worker (Clinical)

Address: 2138 S Indiana Ave, Chicago, IL 60616-4930
Phone: 3108494786

Miracleworks Therapy & Consulting LLC (NPI# 1215536693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215536693
Entity Type Organization
Practice Address 2138 S Indiana Ave
IL 60616-4930
Practice Telephone 3108494786
Mailing Address Po Box 806394
IL 60680
Mailing Telephone 3108494786
Authorized Official Name Mrs. Miracle Donique Montgomery (PSYCHOTHERAPIST)
Authorized Official Telephone 3108494786
Authorized Official Credential LCSW
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-18
Last Update Date 2020-10-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Office Location

Street Address 2138 S INDIANA AVE
State IL
Zip Code 60616-4930

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558993758 King Dental, PC Clinic/Center 3425 S King Dr, Chicago, IL 60616 2020-02-06
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1891254223 Towayn Heaven Acupuncturist 2018 S Michigan Ave, Chicago, IL 60616 2019-03-15
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1144703992 Katelyn Michelle St Martin Physician Assistant 2850 S Michigan Ave Ste 100, Chicago, IL 60616 2018-09-07
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Zip Code 60616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.