Miranda Nicole Shumate
NPI 1073161667ActiveIndividual· Social Worker, Clinical· Denver, CO
Social Worker, Clinical with Sondermind PC and 1 other group, practicing in Denver, Colorado. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1073161667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 28, 2019 |
| Last updated in NPPES | Aug 9, 2022 |
| Certified by provider | Aug 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW.09926723 | CO |
| Social Worker, Clinical | 1041C0700X | 149.020460 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CO); Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Sondermind PCDurham, NC · 68 clinicians
- Truecare24 Physicians Group, S.C.Chicago, IL · 26 clinicians
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