Individual provider · Type 1 NPI

Mirrandia Young, LICSW

Clinical Social Worker · Bridgeport, WV

NPI number 1396498523 Active

Practice location

570 Sidetrack Rd
Bridgeport, WV 26330

Mailing address

PO Box 14
Rosemont, WV 26424-0014

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00945113 (WV)

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 1396498523

Mirrandia Young, LICSW's National Provider Identifier is 1396498523, issued on Jan 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, WV. The record was last updated on Jan 28, 2022.