Ashanti Miranda

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW103180 Issued in CA

Practice address

6555 Ambrosia Dr Apt 1426
San Diego, CA 92124-3236

Phone

(360) 932-5035

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1154954303

  Clinical

  Medicare reassignment NPD
• Resilient Roots Therapy PC

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1598696577
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1528779733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 AMBROSIA DR APT 1426",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 AMBROSIA DR APT 1426",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243236",
            "telephone_number": "360-932-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Palma Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930036451",
            "country_code": "US",
            "telephone_number": "360-932-5035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ASHANTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW120287",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW103180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Miramontes
• Miranda Chiropractic Specialty Group Inc. (Chiropractic Specialty Group)
• Miranda Millican Marriage and Family Therapist Inc (Wander Psychotherapy)
• Sibelle Miranda-Urrea
• Adrianna Rodriguez Miranda, NP
• Celyn Guaro Miranda
• Christine Elizabeth Miranda
• Claudia Miranda, MA
• Cynthia Miranda, PSYD
• Emily Miranda

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.