MIKO RAE ALLEN PT, LCSW - NPI 1386245694 - Social Worker in Sonora, CA

Q: What is Miko Allen's NPI number?

The NPI number for Miko Allen is 1386245694. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Q: What is Miko Allen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Miko Allen was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Miko Rae Allen Pt, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKO RAE ALLEN PT, LCSW (NPI 1386245694) is an individual clinical provider in Sonora, California, licensed in California (117683) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1386245694

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMIKO RAE ALLENCredential: PT, LCSW

Location Address175 FAIRVIEW LNSonora, CA 95370-4809

Mailing Address22572 Little John DrTwain Harte, CA 95383-9758 · (805) 591-9990 · Fax (209) 336-0293

Phone(805) 591-9990

Sole ProprietorYes

Enumeration DateNovember 3, 2020

Last NPPES UpdateMarch 21, 20243 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1386245694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 117683

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedLicensed Psychiatric TechnicianTaxonomy 167G00000X · License 37930 (CA)

175 FAIRVIEW LN, Sonora, CA 95370

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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