Individual provider · Type 1 NPI

Miranda Macdicken

Clinical Social Worker · Mountlake Terrace, WA

NPI number 1336856137 Active

Practice location

21907 64th Ave W Ste 200
Mountlake Terrace, WA 98043-6200

Mailing address

18111 25th Ave NE Apt W106
Marysville, WA 98271-2902

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC61177160 (WA)

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 1336856137

Miranda Macdicken's National Provider Identifier is 1336856137, issued on Nov 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountlake Terrace, WA. The record was last updated on Nov 1, 2022.