Individual provider Active NPI

Miranda Furie, L.C.S.W.

  • Clinical Social Worker
  • Merced, CA
National Provider Identifier
1891832127
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67600 Issued in CA
Practice address
3274 Denver Ave Apt 2
Merced, CA 95348-1646
Phone
(510) 778-4254
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 67600 CA Primary

Addresses

Primary practice location

3274 Denver Ave Apt 2
Merced, CA 95348-1646

Mailing address

3274 Denver Ave Apt 2
Merced, CA 95348-1646
Phone (510) 778-4254

Other practice location 1

4851 Kokomo Dr
Apt 5711
Sacramento, CA 95835-1842
Phone (510) 778-4254

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mirandafurie.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161121001514 CA Practitioner - Clinical Social Worker 8123307808 Reassigns benefits to 1 organization
Practice locations: Merced, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Mar 6, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1891832127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 DENVER AVE APT 2",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481646",
            "telephone_number": "510-778-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 DENVER AVE APT 2",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481646",
            "telephone_number": "510-778-4254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 KOKOMO DR",
            "address_2": "APT 5711",
            "address_purpose": "LOCATION",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351842",
            "country_code": "US",
            "telephone_number": "510-778-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURIE",
        "first_name": "MIRANDA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "67600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mirandafurie.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3274 Denver Ave Apt 2",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953481646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.