Miranda Lynn Buckland

Individual provider Active NPI School Social Worker · Vestal, NY

NPI 1972474963 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1972474963
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
116905 (NY)
Practice address
201 Main St
Vestal, NY 13850-1563
Phone
(607) 757-2241
Fax
(607) 757-2227
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116905NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vestal Central School District Past
since Sep 21, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 116905 NY Yes

Addresses

Primary practice location

201 Main St
Vestal, NY 13850-1563

Mailing address

201 Main St
Vestal, NY 13850-1563
Phone (607) 757-2241

Other providers in Vestal, NY

All providers in Vestal, NY · School Social Worker in New York

Sources for this page

Verify at the official NPI Registry.