Active NPI
Miranda Lane Bivens Filamini, LCSW, MFTA
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1649621749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 253769
- Practice address
- 1979 Richmond Dr Ste 3
Louisville, KY 40205-1411 - Phone
- (502) 230-8694
- Fax
- (502) 331-6062
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 253769 | KY | Primary |
Addresses
Primary practice location
1979 Richmond Dr Ste 3
Louisville, KY 40205-1411
Mailing address
1630 Deer LN
Louisville, KY 40205-1216
Phone (270) 314-0543
Other practice location 1
1601 Concord Pike
Suite 68
Wilmington, DE 19803-3612
Phone (302) 655-2627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1649621749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 DEER LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051216",
"telephone_number": "270-314-0543",
"fax_number": "502-331-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 RICHMOND DR STE 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051411",
"telephone_number": "502-230-8694",
"fax_number": "502-331-6062"
}
],
"practiceLocations": [
{
"address_1": "1601 Concord Pike",
"address_2": "Suite 68",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033612",
"country_code": "US",
"telephone_number": "302-655-2627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILAMINI",
"first_name": "MIRANDA",
"middle_name": "LANE BIVENS",
"credential": "LCSW, MFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.