Active NPI
Miranda Dold, LCSW
- Clinical Social Worker
- Port Chester, NY
National Provider Identifier
1952706962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079831
- Practice address
- 1 Landmark SQ Apt 601
Port Chester, NY 10573-3385 - Phone
- (914) 598-6009
- NPI assigned
- Nov 3, 2014
- 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 | 079831 | NY | Primary |
Addresses
Primary practice location
1 Landmark SQ Apt 601
Port Chester, NY 10573-3385
Mailing address
1 Landmark SQ Apt 601
Port Chester, NY 10573-3385
Phone (914) 980-0791
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 |
|---|---|---|---|
| 079831 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1952706962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LANDMARK SQ APT 601",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733385",
"telephone_number": "914-980-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LANDMARK SQ APT 601",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733385",
"telephone_number": "914-598-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLD",
"first_name": "MIRANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.