Miranda J Mulcrone, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1033765367
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1033765367
- Entity type
- Individual (NPI-1)
- Name
- Miranda J Mulcrone
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2019
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149023229 | IL | Yes |
Practice location
2650 W Montrose Ave Ste 102Chicago, IL 60618-1562
Phone 773-377-5261
Mailing address
2650 W Montrose Ave Ste 102Chicago, IL 60618-1562
Phone 773-377-5261
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