Individual provider · Type 1 NPI

Glenda Marie Miranda, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1912020165 Active

Practice location

1101 Ball Ave NE
Grand Rapids, MI 49505-5904

Call (616) 456-6571 Map

Fax (616) 458-5430

Mailing address

142 Depot Ln
Holland, MI 49424-7400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801088446 (MI)

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 1912020165

Glenda Marie Miranda, LLMSW's National Provider Identifier is 1912020165, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.