MIRANDA ELLIOTT (NPI# 1568073658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568073658 |
| Entity Type | Individual |
| Full Name | MIRANDA ELLIOTT |
| Credential | LCSW |
| Practice Address |
600 Coastal Village Dr Brunswick GA 31520-1973 |
| Mailing Address |
124 Sw Broad St Jesup GA 31545-1100 |
| Practice Telephone | 1255485009 |
| Mailing Telephone | 9122807023 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW007201 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487177242 | Miranda Elliott | Nurse Practitioner | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2017-07-24 |
| Street Address |
600 COASTAL VILLAGE DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689641755 | Darlene Turner Brown | Nurse Practitioner | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2006-03-07 |
| 1770124026 | Calysta Lane Medley | Physician Assistant | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2019-10-07 |
| 1023670148 | Yoshi T Graham | Family Medicine | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2019-06-29 |
| 1174087860 | Gregory Corey Claxton | Nurse Practitioner | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2019-01-26 |
| 1093218554 | Cynthia Leigh Powell | Nurse Practitioner | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2018-03-12 |
| 1992218986 | Jessica Poe Coleman | Nurse Practitioner | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2017-11-13 |
| 1114468576 | Latronya Hollingsworth | Social Worker | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2017-03-17 |
| 1790226439 | Maureen Mcfadden | Social Worker | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2017-03-14 |
| 1831637008 | Michelle Reviere | Counselor | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2017-02-07 |
| 1215473020 | Benjamin Burton | Counselor | 600 Coastal Village Dr, Brunswick, GA 31520-1973 | 2017-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1528697216 | Emily Barb | Social Worker | 1216 Younkins Dr, Brunswick, MD 21716-9752 | 2020-04-03 |
| 1801387295 | Allyson Christianson | Social Worker | 1115 Sycamore Ave, Brunswick, GA 31520-7440 | 2018-05-22 |
| 1811406440 | Lauren Burleigh | Social Worker | 6 Federal St, Brunswick, ME 04011-1508 | 2017-09-27 |
| 1699222828 | Laura Young | Social Worker | 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 | 2016-09-06 |
| 1427414721 | Katherine Moeller | Social Worker | 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 | 2016-01-04 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1396096533 | Katrina Renee Chisholm | Social Worker | 1 Youth Estate Dr, Brunswick, GA 31525-7206 | 2012-09-27 |
| 1417210105 | Justin C Trozzi | Social Worker | 37 Mill St # 7, Brunswick, ME 04011-1914 | 2012-06-19 |
| 1073873725 | N. Katherine Webb, Inc. | Social Worker | 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 | 2012-05-29 |
| Find all providers in BRUNSWICK | ||||
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| 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.