Miranda Lynnzey Casey, LICSW

Individual provider Active NPI Clinical Social Worker · Mountain BRK, AL

NPI 1689218059 · NPPES record last updated Mar 10, 2023

Key facts

NPI
1689218059
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4583C (AL)
Practice address
6 Office Park Cir Ste 304
Mountain BRK, AL 35223-2786
Phone
(205) 883-9736
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Healed and Whole Therapy, LLC Clinical Current
since Mar 12, 2023
Accepting new patients

Locations

6 Office Park Cir
Ste 304
Mountain Brk, AL 35223
Phone (205) 871-2322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4583C AL Yes

Addresses

Primary practice location

6 Office Park Cir Ste 304
Mountain BRK, AL 35223-2786

Mailing address

335 Edgeview Ave
Trussville, AL 35173-1224
Phone (256) 504-5921

Other providers in Mountain BRK, AL

All providers in Mountain BRK, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.