Miranda Lynn Clark
Individual provider Active NPI Social Worker · Hawley, MA
NPI 1477032175 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1477032175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 69 East Hawley Rd
Hawley, MA 01339 - Phone
- (413) 475-4785
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
69 East Hawley Rd
Hawley, MA 01339
Mailing address
69 E Hawley Rd
Hawley, MA 01339-9610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other providers in Hawley, MA
All providers in Hawley, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.