MIRANDA GAIL FETHERSON


Address: 514 Frank Dr, Charlotte, NC 28215-2113
Phone: 7044535011

MIRANDA GAIL FETHERSON (NPI# 1467919373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467919373
Entity Type Individual
Full Name MIRANDA GAIL FETHERSON
Practice Address 514 Frank Dr
Charlotte
NC 28215-2113
Practice Telephone 7044535011
Enumeration Date 2019-02-27
Last Update Date 2019-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 514 FRANK DR
City CHARLOTTE
State NC
Zip Code 28215-2113

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1679111769 Lawana Ussery Hill Case Management 1740 Misty Morn Drive, Charlotte, NC 28215 2019-12-19
1053961110 Tonya Anita Brown Behavior Technician 10230 White Oak Rd, Charlotte, NC 28215 2019-09-19
1780242412 Mikhail A Rybin Registered Nurse 7502 Malden Park Drive, Charlotte, NC 28215 2019-05-29
1033698527 Novant Medical Group, Inc Internal Medicine 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 2018-08-07
1538646088 Andrew Simpson Pharmacist 3805 Rocky River Rd, Charlotte, NC 28215 2018-07-26
1154818425 Korinne A Umlauft Specialist/Technologist 8618 Terra Cotta Dr, Charlotte, NC 28215 2018-04-22
1477058196 Harmony Health Pllc Community/Behavioral Health 8633 Pine Circle, Charlotte, NC 28215 2018-03-26
1639671357 Total Renal Care of North Carolina LLC Clinic/Center 9562 Rocky River Rd, Charlotte, NC 28215 2018-03-08
1588166060 Allcare Medical Center,pllc Internal Medicine 7401 The Plaza, Charlotte, NC 28215 2018-03-01
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538772942 Sharelle Johnson Social Worker 5304 Firelight Ln Unit E, Charlotte, NC 28212-2277 2020-08-25
1902423924 Jacob Wiltshire Social Worker 101 E Wt Harris Blvd Ste 5500, Charlotte, NC 28262-3485 2020-06-26
1730705294 Armani Vance Social Worker 3016 Phillips Fairway Dr, Charlotte, NC 28216-6807 2020-06-22
1033734991 Delia Sumter Social Worker 2113 Speedwell Court, Charlotte, NC 28213-4228 2020-06-16
1518598531 Debra S Somervill Lmsw LLC Social Worker 1214 S Cochran Ave, Charlotte, MI 48813-2206 2020-01-29
1427691807 Tracy Gibson Social Worker 14969 Santa Lucia Dr, Charlotte, NC 28277-3382 2019-10-18
1164079703 Janelle Marie Spikes Social Worker 9727 Cayenne Dr, Charlotte, NC 28214-0105 2019-08-19
1295396695 Tami Graven Dietz Social Worker 9719 Aragorn Ln Nw, Charlotte, NC 28269-6998 2019-06-26
1952967457 Keyana Moore Social Worker 12419 Old Timber Rd, Charlotte, NC 28269-8709 2019-05-10
1821564592 Sharnella Teanna Mccrae Social Worker 974 Plaza Walk Dr, Charlotte, NC 28215-1861 2018-10-19
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Competitor

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City CHARLOTTE
Zip Code 28215

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Dataset Information

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.

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