Provider Demographics
NPI:1740068691
Name:HARPER, MIRANDA (LMSW)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 GOLF VIEW DR APT B1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1761
Mailing Address - Country:US
Mailing Address - Phone:302-358-0841
Mailing Address - Fax:
Practice Address - Street 1:36 GOLF VIEW DR APT B1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1761
Practice Address - Country:US
Practice Address - Phone:302-358-0841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010891104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker