Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Ann Malone, LCSW

Individual provider Social Worker · NPI 1962920900

Miranda Ann Malone, LCSW is a Clinical Social Worker in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2017, 9 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Wisconsin.

Years since qualifying
9
Trained at
University of Wisconsin School of Medicine
Licensed in
NY, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1635 W National Ave
Milwaukee, WI 53204-1130
Phone: (414) 672-1353
Fax: (414) 897-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2277 Grand Ave, Baldwin, NY 11510-3148 — (516) 377-5400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9766 (WI)
Social Worker Taxonomy 104100000X · Licence 100959 (NY)

Record details

NPI number1962920900
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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