Individual provider · Type 1 NPI

Kelliann Ruth Miranda

Clinical Social Worker · Raleigh, NC

NPI number 1093502270 Active

Practice location

3720 Benson Dr Ste AND102
Raleigh, NC 27609-7321

Call (984) 325-6889 Map

Mailing address

15 Tuscan Ct
Youngsville, NC 27596-8029

Other practice locations

  • 5820 E W T Harris Blvd, Charlotte, NC 28215-3541 · (704) 269-8263

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP021896 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1093502270

Kelliann Ruth Miranda's National Provider Identifier is 1093502270, issued on Apr 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Jun 10, 2025.