Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA JACKSON
ActiveMIRANDA JACKSON is a Clinical Social Worker healthcare provider located in FARIBAULT, Minnesota. NPI 1538051909 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FARIBAULT, MN
Registration Details
- NPI Number
- 1538051909
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Jul 18, 2025 (1.034203458082 yrs)
- Last Updated
- Jul 18, 2025
Practice Information
- Address
-
410 CENTRAL AVE NFARIBAULT, MN, 550215217Browse MN providers · Browse ZIP 55021
- Phone
- 5074460431
- Fax
- 5074468014
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FARIBAULT, MN
| Name | Credential | NPI |
|---|---|---|
| BRENDA J JIRIK | LICSW | 1982630547 |
| MS. MARCIA ELAINE KAUFMANN | MSW ACSW LICSW | 1215197678 |
| KELLY KNAEBLE | MSW, LICSW | 1164658431 |
| MR. DAVID JAMES RABINE-YOUNG | MSSW | 1104127562 |
| MR. DOUGLAS HERMAN GOKE | LICSW | 1568746469 |
| MR. ERIK MICHAEL ADOLPHSON | LICSW | 1063760742 |
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.