Miranda Jean Halloran, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11225-123 Issued in WI

Practice address

2985 Triverton Pike Dr
Madison, WI 53711

Phone

(262) 373-9840

Fax

(888) 251-2784

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miranda Jean Van Straten Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychology Clinic Inc.Group PAC ID 0143216747, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychology Clinic Inc.

  • Clinic/Center
  • Madison, WI
  • NPI 1336222769
  Medicare reassignment Care Compare group NPD
• Journey Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1629275359
  NPD (past)
• Kayla Johnson LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
  • NPI 1356296354
  NPD (past)

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1972068922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 TRIVERTON PIKE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "262-373-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 TRIVERTON PIKE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "262-373-9840",
            "fax_number": "888-251-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "MIRANDA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-06-27",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11225-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "VAN STRATEN",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Jordan Hallis
• Caitlin Marie Hallis, PA-C
• Kristine M Hallisy
• Sybil K. Hallman, MD
• Abigail Halloran, LCSW
• Kathryn J Halls, DPT
• Elizabeth Halma, PHARMD
• Linda Marlene Halom, HIS
• Jeffrey Halpin, PHARM D
• Sophia Marie Halstead, BA

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.