Miranda Gavin, LCSWA
Social Worker in Raleigh, NC. Individual provider (NPI-1).
NPI number1003754375
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1003754375
- Entity type
- Individual (NPI-1)
- Name
- Miranda Gavin
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | P022687 | NC | Yes |
Practice location
10901 World Trade BlvdRaleigh, NC 27617-4203
Phone 413-315-4100
Mailing address
53 Catesby Trl Apt 301Garner, NC 27529-4493
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