Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Myranda-Lynn Marie Body, LCSW

Individual provider Clinical Social Worker · NPI 1417716283

Myranda-Lynn Marie Body, LCSW is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Recon Neurology and Psychiatry, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2024
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

1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451
Phone: (910) 504-3506
Fax: (910) 504-3507
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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 C018919 (NC)

Record details

NPI number1417716283
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Recon Neurology And Psychiatry — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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