Individual provider · Type 1 NPI
Miracle Deysia Fan, MSW, LCSW
Clinical Social Worker · Spring, TX
Practice location
26202 Oak Ridge Dr Bldg B204
Spring, TX 77380-1994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 107417 (TX) |
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 1144943416
Miracle Deysia Fan, MSW, LCSW's National Provider Identifier is 1144943416, issued on Sep 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spring, TX. The record was last updated on Aug 18, 2026.