David Joseph Miranda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088460-01 Issued in NY

Practice address

76 Wickham Ave
Goshen, NY 10924-1824

Phone

(845) 320-2330

NPI assigned

Aug 5, 2009

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David J. Miranda, LCSW, PLLC

  • Clinical Social Worker
  • Middletown, NY
  • NPI 1194338129
  Medicare reassignment NPD Authorized official
• Catholic Charities of Orange, Sullivan & Ulster

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Goshen, NY
  • NPI 1093875007
  NPD (past)
• Mary Lerouge LCSW PLLC

  • Mental Health Counselor
  • Middletown, NY
  • NPI 1043825029
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1639300825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WICKHAM AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241824",
            "telephone_number": "845-320-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WICKHAM AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241824",
            "telephone_number": "845-320-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Carpenter Pl",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109503515",
            "country_code": "US",
            "telephone_number": "845-343-7675",
            "fax_number": "845-343-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Route 17M",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109404346",
            "country_code": "US",
            "telephone_number": "845-320-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088460-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Hudson Orthopedic & Sports Medicine P.C.
• Middletown Community Health Center Inc
• Kathleen Mary Miller, APRN, BC, PNP
• Linda S. Miller
• Kiran P Miner, LCSWR
• Thomas Mattingly Mirra, DPT
• Susan Lynn Mobijohn
• Monroe Area Medical Associates, PC
• Montefiore Medical Center
• Traci Rose Montelbano, OTR/L

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.