Active NPI
Miranda O'Neal, LICSW, PIP
- Clinical Social Worker
- Birmingham, AL
National Provider Identifier
1942724604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3908C
- Practice address
- 530 Beacon Pkwy W Ste 401
Birmingham, AL 35209-3196 - Phone
- (205) 986-9130
- NPI assigned
- Aug 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3908C | AL | Primary |
Addresses
Primary practice location
530 Beacon Pkwy W Ste 401
Birmingham, AL 35209-3196
Mailing address
530 Beacon Pkwy W Ste 401
Birmingham, AL 35209-3196
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 |
|---|---|---|---|
| 3908C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Mind Coaching and Consulting, LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- mirandaoneal@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Point of Service
- Gardendale, AL
- NPI 1467024240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1942724604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 BEACON PKWY W STE 401",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 BEACON PKWY W STE 401",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093196",
"telephone_number": "205-986-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "MIRANDA",
"credential": "LICSW, PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "3908C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.