Individual provider · Type 1 NPI

Miranda Alicia Mangual, LCSW

Clinical Social Worker · Waltham, MA

NPI number 1811768765 Active

Practice location

431 River St
Waltham, MA 02453-5476

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW2121273 (MA)

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 1811768765

Miranda Alicia Mangual, LCSW's National Provider Identifier is 1811768765, issued on Jan 10, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waltham, MA. The record was last updated on Aug 8, 2025.