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

Individual provider Clinical Social Worker · NPI 1972068922

Miranda Jean Halloran, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2020, 6 years ago. Practices with Psychology Clinic Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2019
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

2985 Triverton Pike Dr
Madison, WI 53711
Phone: (262) 373-9840
Fax: (888) 251-2784
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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 · Licence 11225-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1972068922
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2019
Last updated in NPPESJune 27, 2025
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Psychology Clinic Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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