Colin De Miranda, LCSW is a
Social Worker - Clinical based in Half Moon Bay, California. Colin De Miranda is licensed to practice in California (license number 106809) and his current practice location is
Smchs Coastside Mental Health Center, 225 South Cabrillo Highway, Suite 200a, Half Moon Bay, California. He can be reached at his office (for appointments etc.) via phone at
(650) 726-6369.
NPI number for Colin De Miranda is 1477943645 and his current mailing address is 957 Industrial Rd, Suite B, San Carlos, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477943645.
Healthcare Provider's Profile
| Full Name | Colin De Miranda |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | Smchs Coastside Mental Health Center, Half Moon Bay, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477943645
- Provider Enumeration Date: 01/27/2015
- Last Update Date: 09/12/2023
Medical Identifiers
Medical identifiers for Colin De Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477943645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106809 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colin De Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colin De Miranda, LCSW
957 Industrial Rd, Suite B,
San Carlos, CA 94070-4151
Ph: () - | Colin De Miranda, LCSW
Smchs Coastside Mental Health Center, 225 South Cabrillo Highway, Suite 200a,
Half Moon Bay, CA 94019
Ph: (650) 726-6369 |
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