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

Miranda Mathis, LCSW

Individual provider Clinical Social Worker · NPI 1750635603

Miranda Mathis, LCSW is a Clinical Social Worker in Kansas City, Missouri. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Kansas and Missouri.

Years since qualifying
7
Licensed in
KS, MO
In the registry since
2012
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

4100 N Mulberry Dr Ste 102
Kansas City, MO 64116-1511
Phone: (816) 827-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Woodland Ave, Kansas City, MO 64106 — (816) 842-8040

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2024021217 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSCSW06408 (KS)

Record details

NPI number1750635603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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