Active NPI
Miranda Perry, LCSW
- Clinical Social Worker
- Somerset, KY
National Provider Identifier
1316635394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 257839
- Practice address
- 600 Clifty St Ste 2
Somerset, KY 42503-1710 - Phone
- (606) 678-0026
- Fax
- (606) 678-0047
- NPI assigned
- Apr 27, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257839 | KY | Primary |
Addresses
Primary practice location
600 Clifty St Ste 2
Somerset, KY 42503-1710
Mailing address
600 Clifty St Ste 2
Somerset, KY 42503-1710
Phone (606) 678-0026
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257839 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Counseling | Clinical | Current | Accepting new patients |
Locations
600 Clifty St
Ste 2
Somerset, KY 42503
Phone (606) 678-0026
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1316635394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CLIFTY ST STE 2",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031710",
"telephone_number": "606-678-0026",
"fax_number": "606-678-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CLIFTY ST STE 2",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031710",
"telephone_number": "606-678-0026",
"fax_number": "606-678-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MIRANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "257839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.