Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Miranda Rae Fani Srour, LICSW

Individual provider Clinical Social Worker · NPI 1710052618

Mrs. Miranda Rae Fani Srour, LICSW is a Clinical Social Worker in Portsmouth, New Hampshire. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1145 Sagamore Ave
Portsmouth, NH 03801-5585
Phone: (603) 431-6703
Fax: (603) 430-3753
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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 115136 (MA)

Record details

NPI number1710052618
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 24, 2006
Last updated in NPPESSeptember 20, 2018

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