Carrie Ann Miranda, MSW,BA
Individual provider Active NPI Clinical Social Worker · Waterbury, CT
NPI 1588096440 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1588096440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 141 E Main St
Waterbury, CT 06702-2310 - Phone
- (203) 574-9000
- Fax
- (203) 574-9006
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160122000995 | CT | Practitioner - Clinical Social Worker | 1557664695 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9249 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| Inner Reflections Counseling LLC | Clinical | Current | Accepting new patients |
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Clinical | Past |
Accepting new patients |
Locations
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT | Yes |
Addresses
Primary practice location
141 E Main St
Waterbury, CT 06702-2310
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other providers in Waterbury, CT
- Mindscapes Counseling PLLC
- Sydney Minella
- Shamika Minnifield
- Deanna Minto
- Elizabeth A Mirabile Levens
- Leyla B Miranda
- Haritha Miriyala
- Eugene Mirrer
- Mojtaba Mirzaei
- April Tracey Mishler
All providers in Waterbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.