Active NPI
Moises Miranda
- Clinical Social Worker
- La Puente, CA
National Provider Identifier
1780962951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW66067
- Practice address
- 13933 Rath St
La Puente, CA 91746-1631 - Phone
- (626) 622-5152
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW66067 | CA | Primary |
Addresses
Primary practice location
13933 Rath St
La Puente, CA 91746-1631
Mailing address
13933 Rath St
La Puente, CA 91746-1631
Phone (626) 622-5152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW66067 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1780962951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13933 RATH ST",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917461631",
"telephone_number": "626-622-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13933 RATH ST",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917461631",
"telephone_number": "626-622-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "MOISES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW66067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.