Active NPI
Miranda Reber, LMSW
- Social Worker
- Carthage, NY
National Provider Identifier
1255857074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101075
- Practice address
- 36500 Rte 26
Carthage, NY 13619-9506 - Phone
- (315) 493-5075
- Fax
- (315) 493-4713
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 101075 | NY | Primary |
Addresses
Primary practice location
36500 Rte 26
Carthage, NY 13619-9506
Mailing address
1001 West St
Carthage, NY 13619-9703
Phone (315) 519-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101075 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1255857074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WEST ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136199703",
"telephone_number": "315-519-5724",
"fax_number": "315-493-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36500 RTE 26",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136199506",
"telephone_number": "315-493-5075",
"fax_number": "315-493-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBER",
"first_name": "MIRANDA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "101075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.