MRS. EDA S. FLORES-MIRANDA


Address: 2703 Mcgraw Dr Ste 3, Bloomington, IL 61704-6089
Phone: 3098072118

MRS. EDA S. FLORES-MIRANDA (NPI# 1194933093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194933093
Entity Type Individual
Full Name MRS. EDA S. FLORES-MIRANDA
Credential MSW, LCSW
Practice Address 2703 Mcgraw Dr Ste 3
Bloomington
IL 61704-6089
Practice Telephone 3098072118
Mailing Telephone 3098072118
Enumeration Date 2007-05-21
Last Update Date 2019-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 150.009670 IL Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
149.013208 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2703 MCGRAW DR STE 3
City BLOOMINGTON
State IL
Zip Code 61704-6089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750540415 Lorin Christin Stelly Counselor 2703 Mcgraw Dr Ste 3, Bloomington, IL 61704-6089 2008-06-06

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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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Competitor

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City BLOOMINGTON
Zip Code 61704

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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.

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