MRS. MIRANDA RAE FANI SROUR LICSW
NPI 1710052618
Social Worker - Clinical in Portsmouth, NH

Active since November 24, 2006
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801(603) 431-6703(603) 430-3753 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Miranda Rae Fani Srour Licsw NPPES

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

MRS. MIRANDA RAE FANI SROUR LICSW (NPI 1710052618) is an individual clinical provider in Portsmouth, New Hampshire, licensed in Massachusetts (115136) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710052618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MIRANDA RAE FANI SROURCredential: LICSW
Location Address1145 SAGAMORE AVEPortsmouth, NH 03801-5585
Mailing Address4 Merry Meeting LnRye, NH 03870-2325 · (617) 504-5737
Fax(603) 430-3753
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateSeptember 20, 2018
NPI 1710052618 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 MA · 115136
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.
1145 SAGAMORE AVE, Portsmouth, NH 03801

Other Names 1

Former Name (1)Miranda Rae Myers Msw

Other Identifiers 2

Medicaid99003227NH
Other7706655Y0NH01NH · Bhn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Social Worker (Clinical)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Counselor
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Clinic/Center (Mental Health (Including Community Mental Health Center))
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Case Manager/Care Coordinator
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801
Social Worker (Clinical)
1145 SAGAMORE AVE
PORTSMOUTH, NH 03801

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 Miranda Fani Srour's NPI number?

The NPI number for Miranda Fani Srour is 1710052618. It was assigned to this individual provider in the NPPES registry on November 24, 2006. The provider is also known as Miranda Rae Myers Msw.

Where is Miranda Fani Srour located?

Miranda Fani Srour practices at 1145 Sagamore Ave, Portsmouth, NH 03801. The listed phone number is (603) 431-6703.

What is Miranda Fani Srour'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 Miranda Fani Srour was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.