Individual provider Active NPI

Miranda L Allen, LCSWS

  • Clinical Social Worker
  • Tomball, TX
National Provider Identifier
1275296279
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66222 Issued in TX
Practice address
17253 Hufsmith Kohrville Rd
Tomball, TX 77375-8335
Phone
(936) 666-2773
NPI assigned
Oct 16, 2021
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66222 TX Primary

Addresses

Primary practice location

17253 Hufsmith Kohrville Rd
Tomball, TX 77375-8335

Mailing address

17253 Hufsmith Kohrville Rd
Tomball, TX 77375-8335
Phone (936) 666-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brazos Valley Community Action Agency IncGroup PAC ID 4284542127, shared by 15 NPIs, 41 clinicians

Practice addresses (Care Compare)

3370 S Texas Ave
Bryan, TX 77802-3127
Phone (979) 595-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66222TXMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1275296279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17253 HUFSMITH KOHRVILLE RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773758335",
            "telephone_number": "936-666-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17253 HUFSMITH KOHRVILLE RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773758335",
            "telephone_number": "936-666-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "LCSWS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.