MIRANDA PAIGE MUSSARIO


Address: 2025 Washington St, Waukegan, IL 60085
Phone: 8473601020

MIRANDA PAIGE MUSSARIO (NPI# 1497266720) 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) 1497266720
Entity Type Individual
Full Name MIRANDA PAIGE MUSSARIO
Other Name MIRANDA PAIGE LUDWIG
Practice Address 2025 Washington St
Waukegan
IL 60085
Practice Telephone 8473601020
Enumeration Date 2017-10-13
Last Update Date 2019-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 363542328 05

Office Location

Street Address 2025 WASHINGTON ST
City WAUKEGAN
State IL
Zip Code 60085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174709810 Independence Center, Inc. Case Management 2025 Washington St, Waukegan, IL 60085-5131 2008-01-11
1316547656 Keli R Poppe Psychologist 2025 Washington St, Waukegan, IL 60085-5131 2020-10-27
1780283184 Justin Kimbel Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-19
1588262109 Anna Bridget Crofts Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-15
1790383511 Lorraine Eileen Waller Counselor 2025 Washington St, Waukegan, IL 60085-5131 2020-10-14
1508464330 Theresa Lynn Mugerditchian Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-14
1184222135 Paul Mazzetta Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-13
1679171789 Madison Lapidus Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-12
1588270656 Alona Diane Miller Counselor 2025 Washington St, Waukegan, IL 60085-5131 2020-09-23
1649895699 Amber Hamby Psychologist 2025 Washington St, Waukegan, IL 60085-5131 2020-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285189 Allison Rose Matuszewski Speech-Language Pathologist Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 2019-09-23
1164985602 Kristin Kaprak Speech-Language Pathologist Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 2019-04-11
1861972317 Mitchum Smith Student in an Organized Health Care Education/Training Program 2025 Washington Street, Waukegan, IL 60085 2018-08-15
1447702998 Rachel Martinez Registered Nurse 3002 Grand Ave., Waukegan, IL 60085 2016-11-01
1831649250 Kenneth Caples Specialist/Technologist 211 S County St, Waukegan, IL 60085 2016-10-10
1033666490 Catholic Charities of The Archdiocese of Chicago Community/Behavioral Health 671 S. Lewis Ave., Waukegan, IL 60085 2016-09-02
1285007757 Michael Moore Counselor 1113 Greenwood Ave, Waukegan, IL 60085 2015-11-05
1740656503 Emperatriz Guerra Counselor 329 N. Genesee Street, Waukegan, IL 60085 2015-08-17
1992189880 County of Lake Clinic/Center 540 S. Mcalister Ave., Waukegan, IL 60085 2015-07-10
1922406354 Ebele Okonkwor Nurse Anesthetist, Certified Registered 1324 N. Sheridan, Waukegan, IL 60085 2014-12-17
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528436839 William Ryan O'donnell Social Worker 1091 S Talcott Dr, Waukegan, IL 60085-8605 2015-09-03
1467844035 Chrisann Marie Caliendo Social Worker 2025 Washington St., Waukegan, IL 60085-5131 2015-02-19
1780283184 Justin Kimbel Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-19
1588262109 Anna Bridget Crofts Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-15
1508464330 Theresa Lynn Mugerditchian Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-14
1184222135 Paul Mazzetta Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-13
1679171789 Madison Lapidus Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-10-12
1073124269 Erika Denny Social Worker 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-08-12
1558972836 Dawid Tryba Social Worker 671 S Lewis Ave, Waukegan, IL 60085-6101 2020-08-11
1154953586 Leslie Stephanie Maitland-mitchell Social Worker 2025 Washington St, Waukegan, IL 60085-5131 2020-02-04
Find all providers in WAUKEGAN

Competitor

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City WAUKEGAN
Zip Code 60085

Improve Information

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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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