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

Miranda Nicole Derosa

Individual provider Case Manager/Care Coordinator · NPI 1336823210

Miranda Nicole Derosa is a Case Manager/Care Coordinator in Yucca Valley, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

58923 Business Center Dr
Yucca Valley, CA 92284-7311
Phone: (909) 832-0427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 113348 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 113348 (CA)

Record details

NPI number1336823210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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