Myranda-Lynn Marie Body, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018919 Issued in NC

Practice address

716 Edgehill Rd
Fayetteville, NC 28314-0219

Phone

(910) 348-7213

NPI assigned

Mar 15, 2024

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recon Neurology and PsychiatryGroup PAC ID 3870965924, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Recon Neurology & Psychiatry

  • Neurology Physician
  • Fayetteville, NC
  • NPI 1427769140
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1417716283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 EDGEHILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140219",
            "telephone_number": "910-348-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 EDGEHILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140219",
            "telephone_number": "910-348-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODY",
        "first_name": "MYRANDA-LYNN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Daniel Bodden-Mena, MD
• Elizabeth Joy Baucum Bodden, MD
• Gouthami Boddu, MD
• Venkata Gangadhar Bodduluri
• Kathryn Everhart Boden, PA-C
• Morgan Boehmer
• Walter Lovell Bogart III, M.D.
• Paige Patrick Bohart, LCMHCA, NCC, MAED.
• Angela Kelley Boivin, NP
• Emily C. Bolan, PHARMD, BCACP, CPP

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.