Individual provider · Type 1 NPI

Miranda Lyn Middona, LCSW

Clinical Social Worker · Elburn, IL

NPI number 1619232154 Active

Practice location

913 Kindberg Court
Elburn, IL 60119

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X149015352 (IL)
Social Worker 104100000X149015352 (IL)
Clinical Social Worker Primary 1041C0700X149015352 (IL)

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 1619232154

Miranda Lyn Middona, LCSW's National Provider Identifier is 1619232154, issued on Jul 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elburn, IL. The record was last updated on Jul 11, 2012.