MIRANDA KELLY (NPI# 1992255129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992255129 |
| Entity Type | Individual |
| Full Name | MIRANDA KELLY |
| Practice Address |
1518 E Lancaster Ave Fort Worth TX 76102-6774 |
| Practice Telephone | 8172557150 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
56207 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144588757 | Miranda Kelly | Nurse Practitioner | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2012-05-02 |
| Street Address |
1518 E LANCASTER AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76102-6774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285652875 | Linda Elizabeth Saucedo | Social Worker | 1518 E Lancaster Ave, Fort Worth, TX 76102-6718 | 2006-07-18 |
| 1407335821 | Michael G Mcquitty | Counselor | 1518 E Lancaster Ave, Fort Worth, TX 76102-6774 | 2018-08-07 |
| 1568901536 | Michael Thomas Ruppert | Case Manager/Care Coordinator | 1518 E Lancaster Ave, Fort Worth, TX 76102-6774 | 2017-02-23 |
| 1194108514 | Samuel Milton Chappell Jr. | Social Worker | 1518 E Lancaster Ave, Suite #a, Fort Worth, TX 76102-6774 | 2015-07-02 |
| 1841697364 | Susette Christine Poe | Social Worker | 1518 E Lancaster Ave, Fort Worth, TX 76102-6774 | 2014-11-26 |
| 1942634415 | Lewis Gene Thomas | Social Worker | 1518 E Lancaster Ave, Fort Worth, TX 76102-6774 | 2013-09-02 |
| 1689913634 | Mary Carmichael Carter | Social Worker | 1518 E Lancaster Ave, Fort Worth, TX 76102-6718 | 2013-02-12 |
| 1669733820 | Rhonnie Williams | Social Worker | 1518 E Lancaster Ave, Suite A, Fort Worth, TX 76102-6718 | 2012-06-05 |
| 1952697237 | Cheryl Paul | Social Worker | 1518 E Lancaster Ave, Fort Worth, TX 76102-6718 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1336777010 | Renese Ann Super | Social Worker | 12333 Red Birch Ln, Fort Worth, TX 76244-4597 | 2020-03-30 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76102 |
Please comment or provide details below to improve the information on MIRANDA KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.