Individual provider Active NPI

Miranda Confer

  • Clinical Social Worker
  • Grand Forks, ND
National Provider Identifier
1922428507
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4776 Issued in ND
Practice address
2017 S Washington St Ste 3
Grand Forks, ND 58201-6341
Phone
(701) 757-3338
Fax
(701) 738-1118
NPI assigned
Apr 22, 2014
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 4776 ND
Clinical Social Worker 1041C0700X 4776 ND Primary

Addresses

Primary practice location

2017 S Washington St Ste 3
Grand Forks, ND 58201-6341

Mailing address

PO Box 5196
Suite 201
Grand Forks, ND 58206-5196
Phone (701) 787-8540

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

LicenseStateTypeSpecialty
4776NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Waves Therapy PLLC Clinical CurrentSince May 25, 2025 Accepting new patients
Grand Forks County Social Services Past Accepting new patients

Locations

2017 S Washington St
Ste 3
Grand Forks, ND 58201
Phone (701) 330-0945

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1922428507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5196",
            "address_2": "SUITE 201",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065196",
            "telephone_number": "701-787-8540",
            "fax_number": "701-787-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S WASHINGTON ST STE 3",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016341",
            "telephone_number": "701-757-3338",
            "fax_number": "701-738-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONFER",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4776",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.