Miranda Arisbet Hernandez
Individual provider Active NPI Clinical Social Worker · Payette, ID
NPI 1003481763 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1003481763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-45303 (ID)
- Practice address
- 250 S Main St
Payette, ID 83661-2853 - Phone
- (208) 406-4245
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-40800 | ID | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-40800 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW-45303 | ID | Yes |
Addresses
Primary practice location
250 S Main St
Payette, ID 83661-2853
Mailing address
250 S Main St
Payette, ID 83661-2853
Phone (208) 406-4245
Other providers in Payette, ID
- Healthcare With Heart LLC
- Jack Arthur Helgeson
- Bryon D Hemphill
- Holly Anne Henggeler
- Tiffanee B Henson
- Meghan Herrera
- Norma Jean Hershey
- Higher Connection Inc
- Idaho Buckeye Inc
- Idaho Dept of Health & Welfare
All providers in Payette, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.