Organization Active NPI

Miranda Communication

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1376948943
Registry record updated Oct 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008451 Issued in VA
Legal business name
MIRANDA COMMUNICATION
Practice address
5205 Ordsall PL
VA Beach, VA
Virginia Beach, VA 23455-6884
Phone
(917) 378-0253
NPI assigned
Oct 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2014

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

Authorized official

Name
Ms. Edith Bean Beaujon, L.C.S.W
Title
Director Social Work
Phone
(917) 378-0253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904008451 VA Primary

Addresses

Primary practice location

5205 Ordsall PL
VA Beach, VA
Virginia Beach, VA 23455-6884

Mailing address

5205 Ordsall PL
VA Beach, VA
Virginia Beach, VA 23455-6884
Phone (917) 378-0253

National Provider Directory

National Provider Directory
Tax ID family
Miranda Communication2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1376948943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 ORDSALL PL",
            "address_2": "VA BEACH, VA",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556884",
            "telephone_number": "917-378-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 ORDSALL PL",
            "address_2": "VA BEACH, VA",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556884",
            "telephone_number": "917-378-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA COMMUNICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "BEAUJON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "BEAN",
        "authorized_official_title_or_position": "DIRECTOR  SOCIAL WORK",
        "authorized_official_telephone_number": "917-378-0253",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.