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JESSICA MIRANDA
NPI 1790472959
Social Worker - Clinical in Riverside, RI

Active since April 19, 2023PECOS Enrolled
610 WAMPANOAG TRL, RIVERSIDE, RI 02915(774) 271-4783 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Miranda NPPES

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

JESSICA MIRANDA (NPI 1790472959) is an individual clinical provider in Riverside, Rhode Island and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Bedford.

NPPES Registry Identity

NPI1790472959
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MIRANDA
Location Address610 WAMPANOAG TRLRiverside, RI 02915-1504
Mailing Address145 Clara StNew Bedford, MA 02744-2206 · (774) 271-4783
Phone(774) 271-4783
Sole ProprietorYes
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1790472959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
610 WAMPANOAG TRL, Riverside, RI 02915
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Secondary Practice Location 1

Location 1145 Clara StNew Bedford, MA 02744-2206 · Phone (774) 271-4783

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Miranda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. CATHERINE LYNN BROWN MSW, LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MS. HOLLY LASKO LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
CHRISTINE L ENOS LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
MELISSA S PATTIE RN, BSN
Registered Nurse (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
ROSE A GOULET LICSW
Social Worker (Clinical)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870
KAREN LAST NURSE PRACTITIONER P
Nurse Practitioner (Psychiatric/Mental Health)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
MARSHALL BENJAMIN WOLD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
610 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 431-9870
JAMES PINEL LMHC
Counselor (Mental Health)
610 WAMPANOAG TRL
EAST PROVIDENCE, RI 02915
Providence County (401) 431-9870

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 Jessica Miranda's NPI number?

The NPI number for Jessica Miranda is 1790472959. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Jessica Miranda located?

Jessica Miranda practices at 610 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (774) 271-4783.

What is Jessica Miranda's specialty?

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

Is Jessica Miranda enrolled in Medicare?

Yes. Jessica Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Miranda was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.