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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA NICOLE DEROSA

Active

MIRANDA NICOLE DEROSA is a Social Worker healthcare provider located in YUCCA VALLEY, California. NPI 1336823210 is currently active in the NPPES registry. Verify at CMS.

Social Worker · YUCCA VALLEY, CA

Registration Details

NPI Number
1336823210
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2023 (2.9918693803893 yrs)
Last Updated
Apr 29, 2024
Licenses
113348 (CA)
113348 (CA)

Practice Information

Address
58923 BUSINESS CENTER DR
YUCCA VALLEY, CA, 922847311
Browse CA providers · Browse ZIP 92284
Phone
9098320427
Primary Specialty
Social Worker
104100000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Social Worker

Other Social Worker Providers in YUCCA VALLEY, CA

Name Credential NPI
NICHOLAS J BALLEW 1851625792
BERNADETTE RANSOM 1013579887
KIMBERLY KRISTINE SHARTEL MSW 1972186963
KELSEY ANDREA KEMP SMITH 1417651399
VANESSA GABRIELA VALLE 1558145813
CATHERINE ISLAND-THOMAS 1972375178
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.