Individual provider Active NPI

Miranda Queen, LCSW

  • Clinical Social Worker
  • Rutherfordton, NC
National Provider Identifier
1497487052
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017867 Issued in NC
Practice address
131 W 2ND St
Rutherfordton, NC 28139-2448
Phone
(828) 255-1968
NPI assigned
Jun 30, 2022
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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 P017867 NC Primary

Addresses

Primary practice location

131 W 2ND St
Rutherfordton, NC 28139-2448

Mailing address

131 W 2ND St
Rutherfordton, NC 28139-2448
Phone (828) 255-1968

Other names 1

  • Miranda M Queen Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260327000226 NC Practitioner - Clinical Social Worker 5092290155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

314 US Hwy 221a
Forest City, NC 28043

314 US Hwy 221a
Forest City, NC 28043-5902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017867NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Hope Clinical CurrentSince Jul 3, 2022 Accepting new patients
M Queen Clinical Therapy PLLC Clinical Current Accepting new patients

Locations

314 US Highway 221A
Forest City, NC 28043
Phone (828) 202-3075

131 W 2nd St
Rutherfordton, NC 28139
Phone (704) 287-2984

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1497487052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 2ND ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392448",
            "telephone_number": "828-255-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 2ND ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392448",
            "telephone_number": "828-255-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "QUEEN",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.