MIRRANDIA YOUNG LICSW
NPI 1396498523
Social Worker - Clinical in Bridgeport, WV

Active since January 28, 2022
570 SIDETRACK RD, BRIDGEPORT, WV 26330(304) 646-6630 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirrandia Young Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRRANDIA YOUNG LICSW (NPI 1396498523) is an individual clinical provider in Bridgeport, West Virginia, licensed in West Virginia (DP00945113) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1396498523
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIRRANDIA YOUNGCredential: LICSW
Location Address570 SIDETRACK RDBridgeport, WV 26330
Mailing AddressPo Box 14Rosemont, WV 26424-0014 · (304) 646-6630
Sole ProprietorYes
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 19, 2022
NPI 1396498523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WV · DP00945113
Definition
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.
570 SIDETRACK RD, Bridgeport, WV 26330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirrandia Young's NPI number?

The NPI number for Mirrandia Young is 1396498523. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Where is Mirrandia Young located?

Mirrandia Young practices at 570 Sidetrack Rd, Bridgeport, WV 26330. The listed phone number is (304) 646-6630.

What is Mirrandia Young's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mirrandia Young was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.