Individual provider · Type 1 NPI

Miranda Ellen Renee Kolde, MSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1477066538 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Call (260) 481-2700 Map

Fax (260) 481-2838

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34008801A (IN)

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 1477066538

Miranda Ellen Renee Kolde, MSW's National Provider Identifier is 1477066538, issued on Nov 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 6, 2022.