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

Mirrandia Young, LICSW

Individual provider Clinical Social Worker · NPI 1396498523

Mirrandia Young, LICSW is a Clinical Social Worker in Bridgeport, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

570 Sidetrack Rd
Bridgeport, WV 26330
Phone: (304) 646-6630
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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 DP00945113 (WV)

Record details

NPI number1396498523
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 19, 2022

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