Individual provider · Type 1 NPI

Miranda Oddo Gullett, LCSW

Clinical Social Worker · Orange Park, FL

NPI number 1437087558 Active

Practice location

395 Forest Meadow Ln
Orange Park, FL 32065-5619

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW26030 (FL)

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 1437087558

Miranda Oddo Gullett, LCSW's National Provider Identifier is 1437087558, issued on May 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orange Park, FL. The record was last updated on May 11, 2026.