Doctor profile · Federal record

Dr. SHANIQUA MILES, LCSW

Clinical Social Worker · Clinical Social Worker · BLOOMINGTON, IL

  • NPI 1710596804
  • 6 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 617046009
(630) 428-7890
Additional location
19500 St Hwy 249 Ste 120
Houston, TX 770703027
(844) 824-8775
fax (281) 648-2200
Additional location
13934 S State St
Riverdale, IL 608272018
(773) 691-5306
Mailing address
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630

Credentials & registration

NPPES · NUCC
NPI registered
July 2020 — 6 yrs on file
Profile last updated
November 7, 2025
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Illinois #149020881 · Texas #106734

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1710596804. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
398
Distinct HCPCS
1
Medicare allowed
$21,858
HCPCS Description Services Patients Avg allowed
90832 Psychotherapy, 30 minutes 398 30 $55

In context: peer comparison

Among 4 peers in this city , average services per provider: 193. This provider delivers 2.1× the peer median.