Provider Demographics
NPI:1497361992
Name:LAMIRANDE, JODIE MINAHAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JODIE
Middle Name:MINAHAN
Last Name:LAMIRANDE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6575
Mailing Address - Country:US
Mailing Address - Phone:978-973-2906
Mailing Address - Fax:978-655-5185
Practice Address - Street 1:540 MAIN ST STE 15
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2940
Practice Address - Country:US
Practice Address - Phone:978-948-9200
Practice Address - Fax:978-655-5185
Is Sole Proprietor?:No
Enumeration Date:2020-09-20
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA315167-SW-LSW1041C0700X
MA2276481041C0700X
MA227648-SW-LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical