National Provider Identifier
Miranda Lynn Davenport
Miranda Lynn Davenport is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 733-5696.
Profile Overview
- NPI
- 1548678972
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 29, 2014
- Last Updated
- January 27, 2025
Practice Location
- 1019 E Water St
- Elmira, NY 14901-3332
Phone: (607) 733-5696
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1548678972
- Entity Type
- Individual
- Last Name
- Davenport
- First Name
- Miranda
- Middle Name
- Lynn
- Mailing Street Address
- 1019 E Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3332
- Mailing Country
- US
- Practice Street Address
- 1019 E Water St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3332
- Practice Country
- US
- Practice Phone
- (607) 733-5696
- Enumeration Date
- July 29, 2014
- Last Updated
- January 27, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)