IndividualActive
Miranda Jackson
NPI 1538051909 · Clinical Social Worker · Faribault, MN
Provider details
- NPI number
- 1538051909
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 Central Ave N
Faribault, MN 55021-5217
Phone: (507) 446-0431
Fax: (507) 446-8014
Street-level locationGet directions
Mailing address
2575 Harvest Ln
Owatonna, MN 55060-4305
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.