Miranda Jackson
Miranda Jackson is a Clinical Social Worker in Faribault, Minnesota. Qualified in 2023, 3 years ago. Registered with an NPI since 2025.
- Years since qualifying
- 3
- In the registry since
- 2025
Practice location Address checks out
410 Central Ave NFaribault, MN 55021-5217
Phone: (507) 446-0431
Fax: (507) 446-8014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1538051909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | July 18, 2025 |
| Last updated in NPPES | July 18, 2025 |
| Certification date | July 18, 2025 |
| Mailing address | 2575 Harvest Ln, Owatonna, MN 55060-4305 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Faribault
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Taylor Derosier
1415 Town Square Ln, Faribault, MN 55021-6088 · (507) 323-8100
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Mackenzie Eckman, MSW, LICSW
100 State Ave, Faribault, MN 55021-6337 · (507) 497-3600
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Mr. Douglas Herman Goke, LICSW
1500 Wellington Cres, Faribault, MN 55021-6731 · (507) 333-5708
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Golden Goose Counseling
418 Willow St, Faribault, MN 55021-6247 · (651) 358-4747
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Mr. David Michael Karim, MBA, MSW, LCSW
100 State Ave, Faribault, MN 55021-6337 · (507) 334-3921
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MS. Marcia Elaine Kaufmann, MSWACSWLICSW
320 3rd St NW, Faribault, MN 55021-0718 · (507) 332-6242
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Andrea Jo Kraus, LICSW
200 State Ave, Faribault, MN 55021-6339 · (507) 497-3600
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Karmy Mara Luker, LICSW
418 Willow St, Faribault, MN 55021-6247 · (952) 873-9935